Provider Demographics
NPI:1750369377
Name:LOMBARDI, DAVID ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANTHONY
Last Name:LOMBARDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1467 N WANDA RD
Mailing Address - Street 2:#165
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5328
Mailing Address - Country:US
Mailing Address - Phone:714-289-1240
Mailing Address - Fax:714-289-1276
Practice Address - Street 1:1467 N WANDA RD
Practice Address - Street 2:#165
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5328
Practice Address - Country:US
Practice Address - Phone:714-289-1240
Practice Address - Fax:714-289-1276
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2010-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG367072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA46771Medicare UPIN