Provider Demographics
NPI:1083616783
Name:SAFORO, DORA T (MD)
Entity Type:Individual
Prefix:DR
First Name:DORA
Middle Name:T
Last Name:SAFORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4605 LOS ALAMOS WAY
Mailing Address - Street 2:UNIT C
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-7831
Mailing Address - Country:US
Mailing Address - Phone:760-754-0974
Mailing Address - Fax:760-754-4812
Practice Address - Street 1:2122 S EL CAMINO REAL
Practice Address - Street 2:SUITE 100
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6208
Practice Address - Country:US
Practice Address - Phone:760-754-0974
Practice Address - Fax:760-754-4812
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA061329207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine