Healthcare Provider Details

I. General information

NPI: 1497833974
Provider Name (Legal Business Name): DAHLIA M. ALSPAUGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2528 SISTER MARY COLUMBA DR
RED BLUFF CA
96080-4327
US

IV. Provider business mailing address

3400 DATA DR PHYSICIAN SUPPORT SERVICES - 2ND FL
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 530-528-6100
  • Fax: 530-528-6146
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number224231
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number224231
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA94450
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD424756
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: