Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH ROBERT DIDDIE, M.D.
Active Sole ProprietorSpecialist · WESTLAKE VILLAGE, CA
Registration Details
- NPI Number
- 1184684219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.116082328007 yrs)
- Last Updated
- Mar 1, 2021
- License
-
G033939 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1220 LA VENTA DRSUITE 211WESTLAKE VILLAGE, CA, 913613703Browse CA providers · Browse ZIP 91361
- Phone
- 8053790200
- Fax
- 8054965204
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WESTLAKE VILLAGE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN JOSEPH DARIN | M.D. | 1902801764 |
| RANDOLPH STEVEN CAPRI | MD | 1750340345 |
| GARY ROY CARLSON | MD | 1144280181 |
| MICHAEL ROBERT BASTIEN | MD | 1053371096 |
| THOMAS JINKYU KIM | MD | 1033179072 |
| STEPHEN J GOMBERG | M.D. | 1972521458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.