Mortimer, Dori R
Mortimer, Dori R is an individual health care provider with primary practice located at 9999 Mira Mesa Blvd #102, San Diego CA 92131-1006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mortimer, Dori R can be contacted via phone (858) 566-4444.Contact Information
Primary practice address
9999 Mira Mesa Blvd #102
San Diego CA 92131-1006
Phone: (858) 566-4444
Fax: (858) 566-3321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A75016 | California |
Profile Details
| NPI number | 1417928417 |
|---|---|
| LBN Legal business name | Mortimer, Dori R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Feb 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417928417 | NPPES |
| California | Other | A75016 | MD LICENSE |
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