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NPI Code Detail

MEDICARE: DAVID MATHEW BOBROW

MEDICARE: DAVID MATHEW BOBROW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG77638CA

General Provider Information

NPI Number : 1295767622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MATHEW BOBROW
Provider Business Mailing Address
First Line : 4103 1ST AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4103 1ST AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2024
Country : US
Telephone Number : 619-683-7899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 10/30/2023

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Directions to “ DAVID MATHEW BOBROW ” Practice Location

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