MEDICARE: PAUL E. DIEHL, M.D., A MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A44437	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A44437	OTHER	CA	MEDICAL STATE LICENSE

General Provider Information

NPI Number	:	1538294103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL E. DIEHL, M.D., A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 77790
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92877-0126
Country	:	US
Telephone Number	:	951-278-5590
Fax Number	:	951-272-9924

Provider Business Practice Location Address
First Line	:	23101 SHERMAN PL STE 302
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2047
Country	:	US
Telephone Number	:	818-347-1500
Fax Number	:	818-347-4119

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL E DIEHL
Credential	:	M.D.
Telephone Number	:	818-347-1500

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	10/16/2023

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