Individual
DR. RICHARD C DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S RAYMOND AVE, PASADENA, CA 91105-3229
(626) 795-8051
(626) 795-0356
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 795-8051
(626) 795-0356
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G15733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200002226
RAIL ROAD MEDICARE
CA
01
—
G15733
MEDICARE INDIVIDUAL
CA
Enumeration date
09/27/2005
Last updated
01/26/2009
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