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1174082234

NPI Code Detail

MEDICARE: JENNIFER DORAN MD

MEDICARE: JENNIFER DORAN MD

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	208M00000X	Hospitalist Physician	DR.0068775	CO
2	207RP1001X	Pulmonary Disease Physician	A190255	CA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A190255	CA

General Provider Information

NPI Number	:	1174082234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DORAN MD

Provider Business Mailing Address
First Line	:	200 W ARBOR DR # 8829
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1911
Country	:	US
Telephone Number	:	619-543-8254
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W ARBOR DR # 8829
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1911
Country	:	US
Telephone Number	:	619-543-8254
Fax Number	:	619-543-2990

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

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	03/10/2026

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Directions to “ JENNIFER DORAN MD” Practice Location

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