Bates, Douglas J
Bates, Douglas J is an individual health care provider with primary practice located at 10150 Sorrento Valley Rd Suite 320, San Diego CA 92121-1635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bates, Douglas J can be contacted via phone (858) 454-4235.Contact Information
Primary practice address
10150 Sorrento Valley Rd Suite 320
San Diego CA 92121-1635
Phone: (858) 454-4235
Fax: (858) 454-4644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G64644 | California |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | G64644 | California |
Profile Details
| NPI number | 1972554996 |
|---|---|
| LBN Legal business name | Bates, Douglas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jun 2nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972554996 | NPPES |
| California | MEDICAID | 00G646440 |
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