Basic Information
Provider Information
NPI: 1720497514
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAY
FirstName: LOUIS
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 875 EL CAJON BLVD
Address2:  
City: EL CAJON
State: CA
PostalCode: 920205714
CountryCode: US
TelephoneNumber: 6196624100
FaxNumber:  
Practice Location
Address1: 39000 BOB HOPE DR
Address2:  
City: RANCHO MIRAGE
State: CA
PostalCode: 922703221
CountryCode: US
TelephoneNumber: 7608378905
FaxNumber: 7608378956
Other Information
ProviderEnumerationDate: 08/06/2014
LastUpdateDate: 09/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X138568CAN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X138568CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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