Healthcare Provider Details

I. General information

NPI: 1770448177
Provider Name (Legal Business Name): ALEX D. DIEP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10065 BENTON ST
WESTMINSTER CO
80020-4138
US

IV. Provider business mailing address

10065 BENTON ST
WESTMINSTER CO
80020-4138
US

V. Phone/Fax

Practice location:
  • Phone: 303-520-5155
  • Fax:
Mailing address:
  • Phone: 303-520-5155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: