MEDICARE: MS. DOROTHY KOWALSKI B.A.

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1104936152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOROTHY KOWALSKI B.A.

Provider Business Mailing Address
First Line	:	5083 VOLTAIRE ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92107-2024
Country	:	US
Telephone Number	:	619-851-9079
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 CAMINO DEL RIO S
Second Line	:	SUITE NUMBER 305
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3608
Country	:	US
Telephone Number	:	619-279-1971
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1467564328 — MR. CHRISTOPHER C MORGAN
Practice Location Address:

2221 CAMINO DEL RIO S
SAN DIEGO, CA
92108-3608

Practice Phone: 619-297-8111
Practice Fax: 619-220-0437

1508977570 — EMILY YETTE
Practice Location Address:

2221 CAMINO DEL RIO S
SAN DIEGO, CA
92108-3608

Practice Phone: 619-993-6392
Practice Fax:

1881706653 — MRS. KIMBERLY WILLMOTT
Practice Location Address:

2221 CAMINO DEL RIO S , SUITE 305
SAN DIEGO, CA
92108-3608

Practice Phone: 619-297-8111
Practice Fax: 619-220-0437

1952479412 — MS. SUSMITA THUKRAL IMF
Practice Location Address:

2221 CAMINO DEL RIO S , SUITE 305
SAN DIEGO, CA
92108-3608

Practice Phone: 619-454-2835
Practice Fax: 619-220-0437

1760526347 — RAYMOND JOHN CANCEL
Practice Location Address:

2221 CAMINO DEL RIO S , STE. 105
SAN DIEGO, CA
92108-3608

Practice Phone: 619-220-0421
Practice Fax:

Directions to “ MS. DOROTHY KOWALSKI B.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.