1487687414 NPI number — SUSAN P DETWILER MD INC

Table of content: (NPI 1487687414)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487687414 NPI number — SUSAN P DETWILER MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUSAN P DETWILER MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1487687414
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7076 CAMINITO VALVERDE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA JOLLA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92037-5723
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-539-7300
Provider Business Mailing Address Fax Number:
858-539-7305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7076 CAMINITO VALVERDE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92037-5723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-539-7300
Provider Business Practice Location Address Fax Number:
858-539-7305
Provider Enumeration Date:
07/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DETWILER
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
858-539-7300

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  G75321 , 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)