Provider Demographics
NPI:1477895050
Name:DORNER, REBECCA ASHLEY (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ASHLEY
Last Name:DORNER
Suffix:
Gender:F
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4711 VIEWRIDGE AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1654
Mailing Address - Country:US
Mailing Address - Phone:858-939-4185
Mailing Address - Fax:858-939-4972
Practice Address - Street 1:3003 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2700
Practice Address - Country:US
Practice Address - Phone:858-939-4185
Practice Address - Fax:858-939-4972
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101269199207L00000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology