Healthcare Provider Details

I. General information

NPI: 1295758118
Provider Name (Legal Business Name): PAULA A DOZZI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16950 VIA TAZON
SAN DIEGO CA
92127-1607
US

IV. Provider business mailing address

16950 VIA TAZON
SAN DIEGO CA
92127-1607
US

V. Phone/Fax

Practice location:
  • Phone: 858-499-2600
  • Fax: 858-521-2388
Mailing address:
  • Phone: 858-499-2600
  • Fax: 858-521-2388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC52456
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License NumberC53456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: