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Individual

DANA L CHORTKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12710 CARMEL COUNTRY ROAD, SAN DIEGO, CA 92130-2153
(858) 499-2708
(858) 481-9755
Mailing address
12710 CARMEL COUNTRY ROAD, SAN DIEGO, CA 92130-2153
(858) 499-2708
(858) 481-9755

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G58820
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0G588200
CA
Enumeration date
09/11/2006
Last updated
06/17/2013
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