Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A110181 | CA |
Y | 207RP1001X | Pulmonary Disease | A110181 | CA |
NPI | 1043477896 |
---|---|
Provider Name | Dr. Randy Dalugdugan |
First Address | San Diego, CA 92120-2507 |
Second Address | San Diego, CA 92120-2507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 01/12/2021 |