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Zachary Diestler

NPI 1336835768 · on the registry since 2023 · sole proprietor

Practice

Address
3800 Coolidge Ave
Oakland, CA 94602
Phone
(510) 772-7049
Organisation at this address
Stanislaus County
Fred Finch Youth Ctr.
Fred Finch Youth Center
Fred Finch Youth Center
Fred Finch Youth Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
458

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YA0400X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California