Tina Lee Diehl O.D

NPI 1083944128 - Optometrist - 152W00000X

NPI Details
NPI 1083944128
Gender Female
Enumeration Date 01/13/2010
Last Updated 11/01/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
10921 WILSHIRE BLVD
SUITE 900
LOS ANGELES CA, 90024-3906, US
Phone (310) 208-3937
Fax (310) 208-0169
Business Location
10921 WILSHIRE BLVD
SUITE 900
LOS ANGELES CA, 90024, US
Phone (310) 208-3937
Fax (310) 208-0169
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 11353T
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According to our database, Ms. Tina Lee Diehl O.D NPI is 1083944128, taxonomy code is 152W00000X and license number is 11353T, license state is located at California. Tina Lee Diehl O.D physically located at 10921 Wilshire Blvd, Los Angeles CA, 90024-3906. NPI Number Tina Lee Diehl O.D has the Individual type.

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1083944128 NPI number is provided on an as is basis without warranty of any kind. 1083944128 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Lee Diehl O.D are for informational purposes only.