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Brent David Diehl, MD
Student in an Organized Health Care Education/Training Program in Thousand Oaks, California
NPI 1336841923

Brent David Diehl is a Student in an Organized Health Care Education/Training Program based in Thousand Oaks, CA. Brent David Diehl practices in Thousand Oaks, CA and has the professional credentials of MD. The NPI Number for Brent David Diehl is 1336841923 and holds a License No. (California).

The current practice location address for Brent David Diehl is 215 W Janss Rd, Thousand Oaks, CA and can be reached out via phone at 805-852-9229.

Location: 215 W Janss Rd, Thousand Oaks, CA, 91360-1847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336841923
Provider Name
Brent David Diehl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
215 W Janss Rd, Thousand Oaks, CA, 91360-1847
Phone Number
805-852-9229
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
805-852-9229
Fax Number
person
Provider Business Mailing Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
805-852-9229
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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