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Individual

DR. FREDERICK WILLIAM DIETERICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 VALLE TERRACE, VISTA, CA 92064
(760) 631-5000
(760) 414-3892
Mailing address
16671 YORBA LINDA BLVD STE 200, YORBA LINDA, CA 92886-2025
(714) 996-3700
(714) 993-5897

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
GO41537
CA
207VG0400X
Gynecology Physician
G041537
CA

Other

Enumeration date
09/14/2006
Last updated
11/13/2023
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