Individual
DR. DAVID S DASSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 13TH ST, RAMONA, CA 92065-2711
(760) 789-5160
(760) 789-6316
Mailing address
15611 POMERADO RD, FIFTH FLOOR, POWAY, CA 92064-2437
(858) 675-3100
(858) 618-1523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G137536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063547420
—
CA
01
—
G137536
MEDICAL LICENSE
CA
Enumeration date
02/23/2007
Last updated
10/05/2016
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