Carolyn M Doherty
Family Doctor Otolaryngologist (ENT Doctor)
400 N Pepper Ave Mob Suite 308
Colton
, California 92324-1801
Carolyn M Doherty
Family Doctor Otolaryngologist (ENT Doctor)
400 N Pepper Ave Mob Suite 308
Colton
, California 92324-1801
(909) 580-1363
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About
Features
Specialties
- Family Doctor
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Carolyn M Doherty
- 400 N Pepper Ave
- Colton, CA
- Zip : 92324-1801
- Fax : (909) 580-1363
- Phone : (909) 580-3353
Second Address
- Carolyn M Doherty
- 400 N Pepper Ave Mob Suite 308
- Colton, CA
- Zip : 92324-1801
- Fax : (909) 580-1363
- Phone : (909) 580-3353
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | G61638 | CA |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G61638 | CA |
National Provider Identifier
| NPI | 1003862350 |
|---|---|
| Provider Name | Carolyn M Doherty |
| First Address | Colton, CA 92324-1801 |
| Second Address | Colton, CA 92324-1801 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 10/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.