Search › California › 208M00000X
Jason Dietz, MBBCHBAO
NPI 1013448844 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4720 Vineta Ave
La Canada, CA 91011 - Phone
- (818) 306-6240
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 390200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California