Provider Demographics
NPI:1144546151
Name:DOBLADO, MANUEL ALEJANDRO (MD)
Entity type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ALEJANDRO
Last Name:DOBLADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9500 GILMAN DR DEPT 633
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0633
Mailing Address - Country:US
Mailing Address - Phone:314-443-8205
Mailing Address - Fax:
Practice Address - Street 1:4320 AUBURN BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-4166
Practice Address - Country:US
Practice Address - Phone:916-773-2229
Practice Address - Fax:916-773-8391
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131490207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology