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Dr. Edwin Henry Dietrich, MD
Emergency Medical Services (Emergency Medicine) Physician in Oakland, California
NPI 1710221403

Edwin Henry Dietrich is a Emergency Medical Services (Emergency Medicine) Physician based in San Francisco, CA and is specialized in Emergency Medical Services. Edwin Henry Dietrich practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Edwin Henry Dietrich is 1710221403 and holds a License No. (California).

The current practice location address for Edwin Henry Dietrich is 1411 E 31St St, Oakland, CA and can be reached out via phone at 510-437-4564.

Location: 1411 E 31St St, Oakland, CA, 94117-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710221403
Provider Name
Edwin Henry Dietrich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1411 E 31St St, Oakland, CA, 94117-1808
Phone Number
510-437-4564
Fax Number
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207P00000X EMERGENCY 05 CA
institution
Provider Business Practice Location Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-4564
Fax Number
person
Provider Business Mailing Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-4564
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
A129815 (California)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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