Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN K BODTKE, M.D.
ActiveSUSAN K BODTKE, M.D. is a Adolescent Medicine healthcare provider located in SAN DIEGO, California. NPI 1871729962 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SAN DIEGO, CA
Registration Details
- NPI Number
- 1871729962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2009 (17.215042532567 yrs)
- Last Updated
- Mar 1, 2013
- License
-
G88460 (CA)
Practice Information
- Address
-
4311 3RD AVESAN DIEGO, CA, 921031407Browse CA providers · Browse ZIP 92103
- Phone
- 6196881600
- Fax
- 6196883099
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GARY KENNETH BOONE | M.D. | 1073543781 |
| GEORGE DELGADO | M.D | 1083639470 |
| DR. YASUKO KIDOKORO | M.D. | 1124130901 |
| MS. ILDIKO CHRISTINE GERBATSCH-BORNEMISZA | MD | 1134258148 |
| DR. GREGG ALAN LICHTENSTEIN | M.D. | 1598880577 |
| CATHERINE LORRAINE GAGNON | NP | 1811125099 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.