Search › California › 1041C0700X
Medina Dautovic
NPI 1972001899 · on the registry since 2018
Practice
- Address
- 2600 S El Camino Real
San Mateo, CA 94403 - Phone
- (650) 578-8691
- Organisation at this address
- Peninsula Health Care District
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 124
Additional practice sites
- 160 E Virginia St Ste 100, San Jose, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
104100000X
390200000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California