Provider Demographics
NPI:1982975231
Name:DUNN, ANGELA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:C
Last Name:DUNN
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:DEPT OF FAMILY & PREVENTIVE MEDICINE
Mailing Address - Street 2:9500 GILMAN DRIVE - MC-0811
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0811
Mailing Address - Country:US
Mailing Address - Phone:858-534-9540
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF FAMILY & PREVENTIVE MEDICINE
Practice Address - Street 2:9500 GILMAN DRIVE - MC-0811
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0811
Practice Address - Country:US
Practice Address - Phone:858-534-9540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1191102083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine