Individual provider · Type 1 NPI

Todd B. Dietrick, MD

Adult Reconstructive Orthopaedic Surgery Physician · Pasadena, CA

NPI number 1619963444 Active · reactivated Apr 6, 2006

Practice location

800 S Raymond Ave
Pasadena, CA 91105-3229

Fax (626) 795-0356

Mailing address

PO Box 90730
Pasadena, CA 91109-0730

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XA70565 (CA)
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114XA70565 (CA)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

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About NPI 1619963444

Todd B. Dietrick, MD's National Provider Identifier is 1619963444, issued on Sep 27, 2005. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Pasadena, CA. The record was last updated on Jun 27, 2024.