Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan K Bodtke, MD

Individual provider Adult Medicine Physician · NPI 1871729962

Susan K Bodtke, MD is an Adult Medicine Physician in San Diego, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4311 3rd Ave
San Diego, CA 92103-1407
Phone: (619) 688-1600
Fax: (619) 688-3099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence G88460 (CA)

Record details

NPI number1871729962
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2009
Last updated in NPPESMarch 1, 2013

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