Basic Information
| Provider Information | |||||||||
| NPI: | 1972919926 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOBSON | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | ROBERT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31588 RAILROAD CANYON RD | ||||||||
| Address2: | |||||||||
| City: | CANYON LAKE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925879468 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9514710888 | ||||||||
| FaxNumber: | 9514718026 | ||||||||
| Practice Location | |||||||||
| Address1: | 27168 NEWPORT RD STE 1 | ||||||||
| Address2: | |||||||||
| City: | MENIFEE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92584 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512463033 | ||||||||
| FaxNumber: | 9512467373 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2014 | ||||||||
| LastUpdateDate: | 09/03/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | A138370 | CA | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.