Provider Demographics
NPI:1356383616
Name:LANDTWING, DONNA (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:LANDTWING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-6718
Mailing Address - Country:US
Mailing Address - Phone:619-647-9021
Mailing Address - Fax:619-588-1750
Practice Address - Street 1:1161 MONTEREY DR
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-6718
Practice Address - Country:US
Practice Address - Phone:619-442-9949
Practice Address - Fax:619-588-1750
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57798207QA0505X, 2084P0802X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry