Provider Demographics
NPI:1578666509
Name:RAUSCH-RAFII, DORI N (MD)
Entity Type:Individual
Prefix:DR
First Name:DORI
Middle Name:N
Last Name:RAUSCH-RAFII
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DORI
Other - Middle Name:N
Other - Last Name:RAUSCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:400 CRAVEN RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4201
Mailing Address - Country:US
Mailing Address - Phone:760-510-4058
Mailing Address - Fax:760-510-4212
Practice Address - Street 1:400 CRAVEN RD
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4201
Practice Address - Country:US
Practice Address - Phone:760-510-4058
Practice Address - Fax:760-510-4212
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96531207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A965310Medicaid