Individual ProviderLoren Robert DukateGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-0001(619) 881-9169PECOS EnrollmentBased on the most recent information from CMS, provider Loren Robert Dukate does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1891389888Provider TypeIndividualFull NameDukate, Loren RobertCredentialDOGenderMaleSole ProprietorNoEnumeration Date2/22/2021Last Updated10/17/2024Contact InformationPractice LocationPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-0001Phone(619) 881-9169FaxUnlisted FaxMailing LocationMailing AddressNaval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0102207416Virginia