Individual
DR. DAVID P. DIMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3030 CHILDRENS WAY, SAN DIEGO, CA 92123-4232
(800) 788-9029
(858) 966-8092
Mailing address
3030 CHILDRENS WAY, SAN DIEGO, CA 92123-4232
(800) 788-9029
(858) 966-8092
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
C146669
CA
207SG0202X
Clinical Biochemical Genetics Physician
Primary
C146669
CA
208000000X
Pediatrics Physician
C146669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275796419
—
WI
Enumeration date
07/08/2008
Last updated
07/14/2022
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