Provider Demographics
NPI:1801904222
Name:BILLER, DEBORAH J (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:BILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2511 GARDEN RD
Mailing Address - Street 2:SUITE A250
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5330
Mailing Address - Country:US
Mailing Address - Phone:831-373-8442
Mailing Address - Fax:831-655-1687
Practice Address - Street 1:2511 GARDEN RD
Practice Address - Street 2:SUITE A250
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5330
Practice Address - Country:US
Practice Address - Phone:831-373-8442
Practice Address - Fax:831-655-1687
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA36323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM70332FMedicaid
CACMM70332FMedicaid
A28039Medicare UPIN