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Individual

ROBERT J DORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACC

Contact information

Practice address
1941 JOHNSON AVE, # 101, SAN LUIS OBISPO, CA 93401-4154
(805) 782-8844
(833) 613-2634
Mailing address
1941 JOHNSON AVE, # 101, SAN LUIS OBISPO, CA 93401-4154
(805) 782-8844
(833) 613-2634

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G54180
CA
207RI0011X
Interventional Cardiology Physician
Primary
G54180
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G541800
CA
01
110039995
RR MEDICARE
CA
01
ZZZ28458Z
BLUE SHIELD
CA
Enumeration date
01/03/2006
Last updated
10/14/2024
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