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NPI Code Detail

MEDICARE: JOHN ALDOUS MD

MEDICARE: JOHN ALDOUS 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
12084P0800XPsychiatry PhysicianA85081CA

General Provider Information

NPI Number : 1831245414
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ALDOUS MD
Provider Business Mailing Address
First Line : 2851 MEADOW LARK DR
Second Line : JUVENILE COURT CLINIC
City : SAN DIEGO
State : CA
Zip : 92123-2709
Country : US
Telephone Number : 858-571-1964
Fax Number :
Provider Business Practice Location Address
First Line : 2851 MEADOW LARK DR
Second Line : JUVENILE COURT CLINIC
City : SAN DIEGO
State : CA
Zip : 92123-2709
Country : US
Telephone Number : 858-571-1964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2007

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Directions to “ JOHN ALDOUS MD” Practice Location

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