Provider Demographics
NPI:1043564198
Name:DAUBMD INC
Entity Type:Organization
Organization Name:DAUBMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-569-1790
Mailing Address - Street 1:9460 CUYAMACA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-5920
Mailing Address - Country:US
Mailing Address - Phone:619-961-5158
Mailing Address - Fax:619-858-3071
Practice Address - Street 1:9460 CUYAMACA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-5920
Practice Address - Country:US
Practice Address - Phone:619-961-5158
Practice Address - Fax:619-312-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-27
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health