Provider Demographics
NPI:1912956434
Name:DORIO, EUGENE RALPH (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:RALPH
Last Name:DORIO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:23823 VALENCIA BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2103
Mailing Address - Country:US
Mailing Address - Phone:661-254-5554
Mailing Address - Fax:661-254-9643
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2103
Practice Address - Country:US
Practice Address - Phone:661-254-5554
Practice Address - Fax:661-254-9643
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA41829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD73193Medicare UPIN
CAA41829AMedicare PIN