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Individual

DR. DANIEL TRI DIEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2760 3RD ST, CERES, CA 95307-3235
(209) 556-5011
(209) 556-5095
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 384-3966

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91505
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A91505
MEDICAL LICENSE
CA
Enumeration date
05/17/2006
Last updated
03/07/2023
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