Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G39437 | CA |
N | 207KA0200X | Allergist | G39437 | CA |
NPI | 1043423668 |
---|---|
Provider Name | Dorothy Calabrese |
First Address | San Clemente, CA 92672-3351 |
Second Address | San Clemente, CA 92672-3351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 04/12/2009 |