Organization
BRYAN DIEFFENBACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DIEFFENBACH MD (PRESIDENT)
(619) 298-3100
Entity
Organization
Contact information
Practice address
550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
(619) 299-2600
(619) 299-3923
Mailing address
550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
(619) 298-3100
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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