MEDICARE: DR. DOUGLAS ARBOGAST RAHN III M.D.

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	2085R0001X	Radiation Oncology Physician	A115869	CA

General Provider Information

NPI Number	:	1609018340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS ARBOGAST RAHN III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 232410
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92193-2410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	959 LANE AVE
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91914-4528
Country	:	US
Telephone Number	:	619-502-7730
Fax Number	:

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

Provider Enumeration Date	:	03/26/2009
Last Update Date	:	08/22/2019

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