Provider Demographics
NPI:1871592253
Name:CAGE, DORI NEILL (MD)
Entity type:Individual
Prefix:DR
First Name:DORI
Middle Name:NEILL
Last Name:CAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8008 FROST ST
Mailing Address - Street 2:SUITE #403
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4209
Mailing Address - Country:US
Mailing Address - Phone:858-715-9200
Mailing Address - Fax:858-715-9202
Practice Address - Street 1:8008 FROST ST
Practice Address - Street 2:SUITE #403
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4205
Practice Address - Country:US
Practice Address - Phone:858-715-9200
Practice Address - Fax:858-715-9202
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA049579207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1871592253OtherINDIVIDUAL NPI
CA1710088992OtherGROUP NPI
GR0057710OtherBC/BS
CAW19706OtherMEDICARE PTAN
CA6066750001Medicare NSC
CA1871592253OtherINDIVIDUAL NPI