Dori R Mortimer in San Diego - Pediatrics

Dori R Mortimer - NPI 1417928417

Dori R Mortimer is a Pediatrics in San Diego, California. Dori R Mortimer practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dori R Mortimer is 1417928417. The last update date is 2011-02-01.

Dori R Mortimer's current location address is 3860 Calle Fortunada, San Diego, California. You can contact this provider via phone number 8586364300 and fax number 8586364319. The mailing address for Dori R Mortimer is 3860 Calle Fortunada, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dori R Mortimer
Address 3860 Calle Fortunada, San Diego, California
Phone Number 8586364300
Fax Number 8586364319
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417928417
Provider Enumeration Date 2006-01-28
Last Updated Date 2011-02-01

Provider Mailing Address Detail

Address 3860 Calle Fortunada
City San Diego
State California (CA)
Post Code 921234800
Phone Number 8586364300
Fax Number 8586364319

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A75016
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A75016 CA MD LICENSE

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FAQs about Dori R Mortimer

What is the unique identifier code issued to Dori R Mortimer by the Centers for Medicare & Medicaid Services?

The Dori R Mortimer has been assigned the NPI (National Provider Identifier) 1417928417. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Dori R Mortimer's facilities are geographically located?

The facilities of Dori R Mortimer are physically situated at the following location: 3860 Calle Fortunada, San Diego, CA, 921234800.

What is Dori R Mortimer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Dori R Mortimer is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417928417 to Dori R Mortimer?

The Centers for Medicare & Medicaid Services originally issued the 1417928417 to Dori R Mortimer on 2006-01-28.

As of what date were the details pertaining to Dori R Mortimer last refreshed?

The information related to the Dori R Mortimer, including its address, specialty, and other relevant details, was last updated on 2011-02-01.

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