Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A131490 | CA |
NPI | 1144546151 |
---|---|
Provider Name | Dr. Manuel Alejandro Doblado |
First Address | La Jolla, CA 92093-0633 |
Second Address | Sacramento, CA 95841-4166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 17/07/2020 |