SearchCalifornia204C00000X

Dirk Diefendorf, M.D

NPI 1467559443 · on the registry since 2006 · sole proprietor

Practice

Address
101 S Ellsworth Ave
Suite 607
San Mateo, CA 94401
Phone
(650) 347-0157
Fax
(650) 347-0566

Registry record

Primary taxonomy
204C00000X
204C00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-30

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