Individual
DR. LAURA MARIE DOLKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-3400
Mailing address
3136 JAMES ST, SAN DIEGO, CA 92106-1439
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
104401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639360746
—
CA
01
—
22014294
MEDI-CAL
CA
Enumeration date
08/05/2007
Last updated
09/09/2009
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