Ethel Dijamco is a General Practice in Van Nuys, California. Ethel Dijamco practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ethel Dijamco is 1780750752. The last update date is 2007-07-09.
Ethel Dijamco's current location address is 6511 Van Nuys Blvd, Van Nuys, California. You can contact this provider via phone number 8189019090 and fax number 8189019347. The mailing address for Ethel Dijamco is 6511 Van Nuys Blvd, Van Nuys, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethel Dijamco |
|---|---|
| Address | 6511 Van Nuys Blvd, Van Nuys, California |
| Phone Number | 8189019090 |
| Fax Number | 8189019347 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780750752 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6511 Van Nuys Blvd |
|---|---|
| City | Van Nuys |
| State | California (CA) |
| Post Code | 914011425 |
| Phone Number | 8189019090 |
| Fax Number | 8189019347 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A48307 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A483070 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ethel Dijamco by the Centers for Medicare & Medicaid Services?
The Ethel Dijamco has been assigned the NPI (National Provider Identifier) 1780750752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Ethel Dijamco?
The Ethel Dijamco is physically situated at 6511 Van Nuys Blvd, in the city of Van Nuys, state of CA, with the postal code 914011425.
What is Ethel Dijamco's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ethel Dijamco's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did Ethel Dijamco receive its 1780750752 assignment from the Centers for Medicare & Medicaid Services?
The Ethel Dijamco was assigned its 1780750752 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ethel Dijamco, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ethel Dijamco, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.