Individual
DR. ANDREW CHARLES DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2546
(323) 361-8068
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2804
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
50809
MN
208000000X
Pediatrics Physician
9008602-1205
UT
208000000X
Pediatrics Physician
A117303
CA
208000000X
Pediatrics Physician
ML20008449
WA
2080P0207X
Pediatric Hematology & Oncology Physician
9008602-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A117303
CA
Other
Enumeration date
08/23/2006
Last updated
12/16/2020
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