Provider Demographics
NPI:1427128354
Name:DOLLE, NAHLLA (MD)
Entity type:Individual
Prefix:DR
First Name:NAHLLA
Middle Name:
Last Name:DOLLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2800 E RIVERSIDE DR APT 318
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-7488
Mailing Address - Country:US
Mailing Address - Phone:909-947-6320
Mailing Address - Fax:909-319-0337
Practice Address - Street 1:1820 FULLERTON AVE STE 140
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3100
Practice Address - Country:US
Practice Address - Phone:951-549-0900
Practice Address - Fax:951-278-8552
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA50630207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4321568OtherECFMG