Provider Demographics
NPI:1366508707
Name:DIEP, CLAIRE THUC DUYEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:THUC DUYEN
Last Name:DIEP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33509 WESTERN AVENUE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587
Mailing Address - Country:US
Mailing Address - Phone:510-441-8081
Mailing Address - Fax:510-441-8080
Practice Address - Street 1:33509 WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587
Practice Address - Country:US
Practice Address - Phone:510-441-8081
Practice Address - Fax:510-441-8080
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A559000Medicaid
CA00A559000Medicaid
00A559001Medicare ID - Type Unspecified