Dortch, David A
Dortch, David A is an individual health care provider with primary practice located at 39252 Winchester Rd Ste. 127, Murrieta CA 92563-3509. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dortch, David A can be contacted via phone (951) 600-9226.Contact Information
Primary practice address
39252 Winchester Rd Ste. 127
Murrieta CA 92563-3509
Phone: (951) 600-9226
Fax: (866) 268-5876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10758T | California |
Profile Details
| NPI number | 1497786156 |
|---|---|
| LBN Legal business name | Dortch, David A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 2nd, 2009 - about 17 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 | 1497786156 | NPPES |
| California | MEDICAID | SD0107580 |
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