Patrick Robert Dahl
Dermatologist
301 W Bastanchury Road Suite 245
Fullerton
, California 92835
Patrick Robert Dahl
Dermatologist
301 W Bastanchury Road Suite 245
Fullerton
, California 92835
(714) 525-3588
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Patrick Robert Dahl
- Po Box 5859
- Fullerton, CA
- Zip : 92838
- Fax : (714) 525-3588
- Phone : (714) 525-3500
Second Address
- Patrick Robert Dahl
- 301 W Bastanchury Road Suite 245
- Fullerton, CA
- Zip : 92835
- Fax : (714) 525-3588
- Phone : (714) 525-3500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | G75823 | CA |
National Provider Identifier
| NPI | 1033213392 |
|---|---|
| Provider Name | Patrick Robert Dahl |
| First Address | Fullerton, CA 92838 |
| Second Address | Fullerton, CA 92835 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2006 |
| Last Update Date | 17/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F44691 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.