Provider Demographics
NPI:1982924932
Name:WILLIAM ROSS DOBKIN M D INC
Entity Type:Organization
Organization Name:WILLIAM ROSS DOBKIN M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOBKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-646-2998
Mailing Address - Street 1:3900 W COAST HWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4091
Mailing Address - Country:US
Mailing Address - Phone:949-646-2998
Mailing Address - Fax:949-646-8151
Practice Address - Street 1:3900 W COAST HWY
Practice Address - Street 2:SUITE 300
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4091
Practice Address - Country:US
Practice Address - Phone:949-646-2998
Practice Address - Fax:949-646-8151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42153207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty