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Organization
RONALD C. DIEBEL, M.D. A PROFESSIONAL CORPORATION
Active
Organization
RONALD C. DIEBEL, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD C DIEBEL M.D. (PHYSICIAN)
(408) 314-5000
Entity
Organization
Contact information
Practice address
251 OCONNOR DR, SUITE 1, SAN JOSE, CA 95128-1656
(408) 314-5000
Mailing address
1101 S WINCHESTER BLVD. STE. D-146, SAN JOSE, CA 95128-3915
(408) 314-5000
(408) 287-7847
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
CA
332900000X
Non-Pharmacy Dispensing Site
G19786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G19785
MEDICAL LICENSE NUMBER
CA
Enumeration date
12/12/2007
Last updated
07/01/2015
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