Provider Demographics
NPI:1700152998
Name:EXPERTON, BETTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTINA
Middle Name:
Last Name:EXPERTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 CAMINO DEL MAR
Mailing Address - Street 2:#503
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2605
Mailing Address - Country:US
Mailing Address - Phone:858-259-8987
Mailing Address - Fax:858-259-9180
Practice Address - Street 1:1310 CAMINO DEL MAR
Practice Address - Street 2:SUITE C
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2501
Practice Address - Country:US
Practice Address - Phone:858-259-8987
Practice Address - Fax:858-259-9180
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-01
Last Update Date:2012-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA400502083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine