David J Bodkin in La Mesa - Hematology & Oncology

David J Bodkin - NPI 1134280605

David J Bodkin is a Hematology & Oncology in La Mesa, California. David J Bodkin practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for David J Bodkin is 1134280605. The last update date is 2015-11-20.

David J Bodkin's current location address is 5555 Grossmont Center Dr, La Mesa, California. You can contact this provider via phone number 6196443030 and fax number 6196443083. The mailing address for David J Bodkin is 5555 Grossmont Center Dr, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name David J Bodkin
Address 5555 Grossmont Center Dr, La Mesa, California
Phone Number 6196443030
Fax Number 6196443083
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1134280605
Provider Enumeration Date 2006-12-12
Last Updated Date 2015-11-20

Provider Mailing Address Detail

Address 5555 Grossmont Center Dr
City La Mesa
State California (CA)
Post Code 919423019
Phone Number 6196443030
Fax Number 6196443083

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No G62107
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G62107 CA CALIFORNIA STATE LICENSE

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FAQs about David J Bodkin

What is the unique identification code assigned to David J Bodkin by the Centers for Medicare & Medicaid Services?

The David J Bodkin has been issued the NPI (National Provider Identifier) 1134280605. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David J Bodkin is geographically located?

The David J Bodkin is physically situated at the following location: 5555 Grossmont Center Dr, La Mesa, CA, 919423019.

What is the David J Bodkin's area of specialization and corresponding taxonomy classification?

The David J Bodkin's specialty field is Hematology & Oncology, and it falls under the taxonomy code 207Rh0003X, which categorizes healthcare providers based on their specialties.

On what date did the David J Bodkin receive its 1134280605 assignment from the Centers for Medicare & Medicaid Services?

The David J Bodkin was assigned its 1134280605 by the Centers for Medicare & Medicaid Services on 2006-12-12.

As of what date were the details pertaining to David J Bodkin last refreshed?

The information related to the David J Bodkin, including its address, specialty, and other relevant details, was last updated on 2015-11-20.

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