Provider Demographics
NPI:1780664219
Name:SETLIFF, DON PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:PAUL
Last Name:SETLIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13620 CALAIS DR
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3528
Mailing Address - Country:US
Mailing Address - Phone:858-259-8791
Mailing Address - Fax:
Practice Address - Street 1:540 S 8TH ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-3214
Practice Address - Country:US
Practice Address - Phone:760-353-4600
Practice Address - Fax:760-353-4644
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC34839207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C348392Medicaid
CA00C348392Medicaid
CAC34839Medicare PIN