# DETLEF EHLING MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689846552
- **Authorized official:** DR. DETLEF EHLING M.D. (PRESIDENT)
- **Authorized official phone:** (925) 682-0390

## Contact information

- **Practice address:** 2485 HIGH SCHOOL AVE, SUITE 208, CONCORD, CA 94520-1819
- **Practice address phone:** (925) 682-0390
- **Practice address fax:** (925) 682-0391
- **Mailing address:** 2485 HIGH SCHOOL AVE, SUITE 208, CONCORD, CA 94520-1819
- **Mailing address phone:** (925) 682-0390
- **Mailing address fax:** (925) 682-0391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A66608 | CA | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CNC 3005001 | — | CA |