Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 13927 | CA |
NPI | 1003129834 |
---|---|
Provider Name | Dr. Dora Doan |
First Address | San Diego, CA 92105-1608 |
Second Address | San Diego, CA 92105-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2010 |
Last Update Date | 23/12/2013 |