Individual
DR. DUSTIN HATEFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A124325
CA
207T00000X
Neurological Surgery Physician
ME144769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106179700
—
FL
Enumeration date
07/06/2011
Last updated
02/09/2024
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