Provider Demographics
NPI:1033571872
Name:TOURJE, CAITLIN D (MD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:D
Last Name:TOURJE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:DIANE
Other - Last Name:KIKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1100 PASEO CAMARILLO
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6073
Mailing Address - Country:US
Mailing Address - Phone:805-484-8558
Mailing Address - Fax:
Practice Address - Street 1:1100 PASEO CAMARILLO
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6073
Practice Address - Country:US
Practice Address - Phone:805-484-8558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA172179207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program