Individual
DR. FREDDIE DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FACE
Contact information
Practice address
3975 JACKSON ST, STE. 200, RIVERSIDE, CA 92503-3901
(951) 353-2769
(951) 353-2779
Mailing address
3975 JACKSON ST, STE. 200, RIVERSIDE, CA 92503-3901
(951) 353-2769
(951) 353-2779
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C042356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C423560
—
CA
Enumeration date
11/03/2006
Last updated
07/08/2007
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