Individual
JACK E. DOBKIN
Active
Individual
JACK E. DOBKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20A8076
CA
207RC0000X
Cardiovascular Disease Physician
Primary
51708
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX80760
—
CA
01
—
020A80760
BLUE SHIELD ID #
—
01
—
044862
HEALHT NET ID #
—
05
—
517088
—
SC
01
—
60066531
RAILROAD
—
01
—
60066532
RAILROAD
—
Enumeration date
05/26/2006
Last updated
07/16/2019
Update your record
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