Provider Demographics
NPI:1538396486
Name:SELINGER, DORON, 'DORY' LOUIS (CPO)
Entity type:Individual
Prefix:MR
First Name:DORON, 'DORY'
Middle Name:LOUIS
Last Name:SELINGER
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:420 E ROMIE LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4000
Mailing Address - Country:US
Mailing Address - Phone:925-979-5626
Mailing Address - Fax:831-998-8034
Practice Address - Street 1:420 E ROMIE LN
Practice Address - Street 2:SUITE C
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4000
Practice Address - Country:US
Practice Address - Phone:925-979-5626
Practice Address - Fax:831-998-8034
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC46706222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist