Individual
JOSHUA DIETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
321 E CHAPMAN AVE, FULLERTON, CA 92832-2011
(714) 992-7093
(714) 992-9923
Mailing address
631 ASH WAY, LA HABRA, CA 90631-5978
(562) 475-3900
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
95135839
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95135839
CA
Other
Enumeration date
04/02/2024
Last updated
04/24/2026
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