Dodge, Larry David

Dodge, Larry David is an individual health care provider with primary practice located at 4060 4Th Ave Ste 700 , San Diego CA 92103-2121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Dodge, Larry David can be contacted via phone (609) 299-8500.

Contact Information

Primary practice address
4060 4Th Ave Ste 700 San Diego CA 92103-2121
Phone: (609) 299-8500
Fax: (619) 297-1443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G46528 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G46528 California

Profile Details

NPI number 1366404873
LBN Legal business name Dodge, Larry David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Apr 24th, 2026 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366404873 NPPES
California MEDICAID 00G465280

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