Provider Demographics
NPI:1366701799
Name:DAVID D. BOOK, MD, INC.
Entity type:Organization
Organization Name:DAVID D. BOOK, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LDAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-922-9922
Mailing Address - Street 1:607 PLAZA DR STE C102
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6945
Mailing Address - Country:US
Mailing Address - Phone:805-922-9922
Mailing Address - Fax:805-928-4840
Practice Address - Street 1:607 PLAZA DR STE C102
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6945
Practice Address - Country:US
Practice Address - Phone:805-922-9922
Practice Address - Fax:805-928-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALG32150207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91409Medicare UPIN