Provider Demographics
NPI:1033222708
Name:SAZON, DOTTIE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:DOTTIE ANN
Middle Name:
Last Name:SAZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91951-0088
Mailing Address - Country:US
Mailing Address - Phone:619-267-3188
Mailing Address - Fax:619-267-3388
Practice Address - Street 1:655 EUCLID AVE
Practice Address - Street 2:SUITE #206
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2957
Practice Address - Country:US
Practice Address - Phone:619-267-3188
Practice Address - Fax:619-267-3388
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48932207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA48932FOtherPTAN
E71906Medicare UPIN