| Daubmd Inc | |
|
9460 Cuyamaca St Suite 104 Santee CA 92071-5920 | |
| (619) 961-5158 | |
| (619) 312-4335 |
| Full Name | Daubmd Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9460 Cuyamaca St, Santee, California |
| Authorized Official Name and Position | Douglas M Daub (PRESIDENT/CEO) |
| Authorized Official Contact | 6195691790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daubmd Inc 9460 Cuyamaca St Suite 104 Santee CA 92071-5920 Ph: (619) 961-5158 | Daubmd Inc 9460 Cuyamaca St Suite 104 Santee CA 92071-5920 Ph: (619) 961-5158 |
| NPI Number | 1043564198 |
|---|---|
| Provider Enumeration Date | 10/27/2012 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 1557516309 |
|---|---|
| Medicare Enrollment ID | O20130227000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043564198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Douglas M Daub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831382753 PECOS PAC ID: 2769453240 Enrollment ID: I20040805001590 |
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