Basic Information
Provider Information
NPI: 1871537902
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUGER
FirstName: WILLIAM
MiddleName: ROGER
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 232410
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921932410
CountryCode: US
TelephoneNumber: 8582496749
FaxNumber:  
Practice Location
Address1: 9300 CAMPUS POINT DR
Address2: MAIL CODE 7381
City: LA JOLLA
State: CA
PostalCode: 920371300
CountryCode: US
TelephoneNumber: 8586577140
FaxNumber: 8586577107
Other Information
ProviderEnumerationDate: 06/16/2006
LastUpdateDate: 06/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XG58864CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XMD466116PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200XG58864CAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XMD466116PAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001XG58864CAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
00G58864005CA MEDICAID


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