Doctor Name: | DOROTHY CALABRESE |
NPI Number: | 1043423668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G39437 |
Business Practice Address: | 2449 S El Camino Real San Clemente, CA - 926723351 |
Business Phone Number: | 9494540509 |
Business Fax Number: | 9494542033 |
Mailing Address: | 2449 S El Camino Real, SAN CLEMENTE |
State: | CA |
Postal Code: | 926723351 |
Phone Number: | 9494540509 |
Fax Number: | 9494542033 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | G39437 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |