Victor S Dorodny MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A35905 Issued in CA

Legal business name

VICTOR S DORODNY MD INC

Practice address

30765 Pacific Coast Hwy Ste 285
Malibu, CA 90265-3646

Phone

(182) 836-7636

NPI assigned

Nov 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor Dorodny, M.D.

Title

Ceo

Phone

(828) 367-6369

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1245507417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HWY STE 285",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653646",
            "telephone_number": "828-367-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HWY STE 285",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653646",
            "telephone_number": "182-836-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR S DORODNY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "DORODNY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "18283676369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.