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Primary Practice Address
1220 LA VENTA DR SUITE 211
WESTLAKE VILLAGE, CA 91361-3703 US
Accepts Medicare Payment

PECOS Enrolled

Kenneth Robert Diddie

Specialist


Kenneth Robert Diddie

Overview

Kenneth Robert Diddie is a Specialist in the WESTLAKE VILLAGE area and has over 52 years of experience. Kenneth Robert Diddie primary office location is at 1220 LA VENTA DR and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Chicago, Pritzker School Of Medicine and graduated 1973 The NPI number is 1184684219 and the information was updated approximately 4 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1220 LA VENTA DR SUITE 211
WESTLAKE VILLAGE, CA 91361-3703 US
Phone: (805)-379-0200
Fax:
Practice Mailing Information
1220 LA VENTA DR
WESTLAKE VILLAGE, CA 91361-3703 US
Phone: (805)-379-0200
Fax: (805)-496-5204
License NumberState
G033939CA