Provider Demographics
NPI:1437999794
Name:DIEN, RICHARD (RN, BSN)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:DIEN
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11466 RICHMONT RD
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3523
Mailing Address - Country:US
Mailing Address - Phone:909-532-4012
Mailing Address - Fax:
Practice Address - Street 1:11466 RICHMONT RD
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3523
Practice Address - Country:US
Practice Address - Phone:909-532-4012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95240106163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse