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Individual

ESTELA DIESFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1752 S VICTORIA AVE, SUITE B, VENTURA, CA 93003
(805) 644-4930
(805) 644-4960
Mailing address
1752 S VICTORIA AVE, SUITE B, VENTURA, CA 93003
(805) 644-4930
(805) 644-4960

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G50644
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G506441
BLUE SHIELD
CA
Enumeration date
08/29/2006
Last updated
05/02/2008
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