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NPI Code Detail

MEDICARE: DR. SUSAN MELISSA DINDOT MD

MEDICARE: DR. SUSAN MELISSA DINDOT 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
1207R00000XInternal Medicine PhysicianA65427CA

General Provider Information

NPI Number : 1821279225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN MELISSA DINDOT MD
Provider Business Mailing Address
First Line : 30131 TOWN CENTER DR STE 140
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2010
Country : US
Telephone Number : 949-249-9600
Fax Number : 949-249-5300
Provider Business Practice Location Address
First Line : 30131 TOWN CENTER DR STE 140
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2010
Country : US
Telephone Number : 949-249-9600
Fax Number : 949-249-5300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 11/14/2007

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