Douglas Dean Dengerink in San Diego - Sports Medicine
Douglas Dean Dengerink - NPI 1598761413
Douglas Dean Dengerink is a Sports Medicine in San Diego, California. Douglas Dean Dengerink practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Douglas Dean Dengerink is 1598761413. The last update date is 2012-09-13.
Douglas Dean Dengerink's current location address is 6699 Alvarado Rd, San Diego, California. You can contact this provider via phone number 6192293909 and fax number 6192293902. The mailing address for Douglas Dean Dengerink is 6699 Alvarado Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Dean Dengerink |
|---|---|
| Address | 6699 Alvarado Rd, San Diego, California |
| Phone Number | 6192293909 |
| Fax Number | 6192293902 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1598761413 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2012-09-13 |
Provider Mailing Address Detail
| Address | 6699 Alvarado Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921205244 |
| Phone Number | 6192293909 |
| Fax Number | 6192293902 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 20A9206 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GL046Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas Dean Dengerink by the Centers for Medicare & Medicaid Services?
The Douglas Dean Dengerink has been assigned the NPI (National Provider Identifier) 1598761413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Douglas Dean Dengerink?
The Douglas Dean Dengerink is physically situated at 6699 Alvarado Rd, in the city of San Diego, state of CA, with the postal code 921205244.
What is the area of specialization for Douglas Dean Dengerink, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas Dean Dengerink is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598761413 to Douglas Dean Dengerink?
The Douglas Dean Dengerink received its 1598761413 assignment from the Centers for Medicare & Medicaid Services on 2005-06-24.
When was the information regarding Douglas Dean Dengerink, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglas Dean Dengerink, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-13.