Individual
DALE A KOOISTRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., PHD.
Contact information
Practice address
15525 POMERADO RD, SUITE D2, POWAY, CA 92064-2435
(858) 675-8001
(858) 487-1337
Mailing address
15525 POMERADO RD, SUITE D2, POWAY, CA 92064-2435
(858) 675-8001
(858) 487-1337
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G55734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G557340
—
CA
Enumeration date
08/24/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us