Individual
PAUL EDWARD DATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8851 CENTER DR, SUITE 501, LA MESA, CA 91942-3017
(619) 697-2456
(619) 697-2494
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(858) 888-7700
(858) 888-7721
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A43540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A462510
—
CA
01
—
WA43540C
MEDICARE PTAN FOR GHP
CA
Enumeration date
03/14/2006
Last updated
03/18/2020
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