1366762106 NPI number — DR. DAVID JOHANN PUDER MD

Table of content: DR. DAVID JOHANN PUDER MD (NPI 1366762106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366762106 NPI number — DR. DAVID JOHANN PUDER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PUDER
Provider First Name:
DAVID
Provider Middle Name:
JOHANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366762106
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1790 W PARK AVE STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDLANDS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92373-3116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-334-2608
Provider Business Mailing Address Fax Number:
909-255-9752

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1790 W PARK AVE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REDLANDS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92373-3116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-334-2608
Provider Business Practice Location Address Fax Number:
909-255-9752
Provider Enumeration Date:
06/03/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  AC2822890-K10-018 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X , with the licence number: A120199 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 68795 . This is a "AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: A120199 . This is a "MEDICAL BOARD OF CALIFORNIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".