Organization
FW DIETERICH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK W DIETERICH M.D. (PRESIDENT)
(714) 572-1921
Entity
Organization
Contact information
Practice address
1275 N. ROSE DR, SUITE 106, PLACENTIA, CA 92870-3945
(714) 572-1921
(714) 572-8334
Mailing address
1275 N. ROSE DR, SUITE 106, PLACENTIA, CA 92870-3945
(714) 572-1921
(714) 572-8334
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G41537
CA
Other
Enumeration date
04/23/2009
Last updated
04/08/2016
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