Individual
DAVID RUSSELL DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942
(619) 460-5111
(619) 460-7815
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A36513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A365130
—
CA
Enumeration date
12/04/2006
Last updated
03/03/2020
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