MEDICARE: ROBERT J. DINGLER, M.D., INC.

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	207Q00000X	Family Medicine Physician	C2563646	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DA4583	OTHER	CA	RAILROAD MEDICARE GRP PIN

General Provider Information

NPI Number	:	1225027626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT J. DINGLER, M.D., INC.

Provider Business Mailing Address
First Line	:	265 POSADA LN
Second Line	:	SUITE C
City	:	TEMPLETON
State	:	CA
Zip	:	93465-4056
Country	:	US
Telephone Number	:	805-434-1400
Fax Number	:	805-434-1405

Provider Business Practice Location Address
First Line	:	265 POSADA LN
Second Line	:	SUITE C
City	:	TEMPLETON
State	:	CA
Zip	:	93465-4056
Country	:	US
Telephone Number	:	805-434-1400
Fax Number	:	805-434-1405

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT JAMES DINGLER
Credential	:	M.D
Telephone Number	:	805-434-1400

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	10/19/2007

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Directions to “ROBERT J. DINGLER, M.D., INC. ” Practice Location

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