Individual
CASEY DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9482 CALIFORNIA CITY BLVD, CALIFORNIA CITY, CA 93505-2803
(760) 373-5268
Mailing address
13411 BENTON ST, GARDEN GROVE, CA 92843-3275
(714) 824-7259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85962
CA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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