Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A112916 | CA |
NPI | 1326240805 |
---|---|
Provider Name | Dr. David William Fabi |
First Address | San Diego, CA 92103-2181 |
Second Address | San Diego, CA 92103-2181 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 11/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DP342Z | (02) | CA |