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Contact Information

MY DIEP, DO
25865 BARTON RD STE 101 BLDG D
LOMA LINDA, CA92354
 Phone: 909-558-2890
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MY DIEP · (Female)

NPI Number 1912584657
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/27/2021
Last updated 08/01/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A23759
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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