Individual
MICHAEL JOSEPH DIBIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11549 LOS OSOS VALLEY RD STE 208, SAN LUIS OBISPO, CA 93405-6458
(805) 548-8585
(805) 548-8589
Mailing address
11549 LOS OSOS VALLEY RD STE 208, SAN LUIS OBISPO, CA 93405-6458
(805) 548-8585
(805) 548-8589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A106846
CA
207RN0300X
Nephrology Physician
Primary
A106846
CA
Other
Enumeration date
03/10/2009
Last updated
03/19/2025
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