Healthcare Provider Details

I. General information

NPI: 1710164637
Provider Name (Legal Business Name): AMY DOLINAR MD PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 ESPLANADE SUITE 4
CHICO CA
95926-3370
US

IV. Provider business mailing address

1601 ESPLANADE SUITE 4
CHICO CA
95926-3370
US

V. Phone/Fax

Practice location:
  • Phone: 530-895-8101
  • Fax: 530-895-8104
Mailing address:
  • Phone: 530-895-8101
  • Fax: 530-895-8104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA90096
License Number StateCA

VIII. Authorized Official

Name: AMY DOLINAR
Title or Position: MD/PRESIDENT
Credential:
Phone: 530-895-8101