| Richard Dohn Md Inc. | |
|
3880 S Bascom Ave #109 San Jose CA 95124-2674 | |
| (408) 356-8672 | |
| (408) 626-9029 |
| Full Name | Richard Dohn Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3880 S Bascom Ave, San Jose, California |
| Authorized Official Name and Position | Richard Hai Dohn (PHYSICIAN) |
| Authorized Official Contact | 4084218931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Dohn Md Inc. 3880 S Bascom Ave 109 San Jose CA 95124-2674 Ph: (408) 356-8672 | Richard Dohn Md Inc. 3880 S Bascom Ave #109 San Jose CA 95124-2674 Ph: (408) 356-8672 |
| NPI Number | 1558456475 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/26/2011 |
| Medicare PECOS PAC ID | 6608876602 |
|---|---|
| Medicare Enrollment ID | O20061221000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558456475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A78898 (California) | Primary |
| Provider Name | Richard H Dohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558384446 PECOS PAC ID: 7618977612 Enrollment ID: I20061221000324 |
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