| Timothy R. Dooley, M.d., Professional Corporation | |
|
2525 Camino Del Rio S Ste 130 San Diego CA 92108-3718 | |
| (619) 297-8641 | |
| Not Available |
| Full Name | Timothy R. Dooley, M.d., Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 2525 Camino Del Rio S Ste 130, San Diego, California |
| Authorized Official Name and Position | Timothy Rupert Dooley (PHYSICIAN) |
| Authorized Official Contact | 6192978641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy R. Dooley, M.d., Professional Corporation 2525 Camino Del Rio S Ste 130 San Diego CA 92108-3718 Ph: (619) 297-8641 | Timothy R. Dooley, M.d., Professional Corporation 2525 Camino Del Rio S Ste 130 San Diego CA 92108-3718 Ph: (619) 297-8641 |
| NPI Number | 1679900419 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 07/08/2022 |
| Medicare PECOS PAC ID | 7911135082 |
|---|---|
| Medicare Enrollment ID | O20140117000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679900419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G69284 (California) | Primary |
| Provider Name | Timothy R Dooley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366557258 PECOS PAC ID: 7517853096 Enrollment ID: I20040223000697 |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |