is a Internal Medicine in San Diego, California. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1558472779. The last update date is .
's current location address is 6699 Alvarado Rd, San Diego, California. You can contact this provider via phone number 6192293909 and fax number 6192293902. The mailing address for is 6699 Alvarado Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 6699 Alvarado Rd, San Diego, California |
| Phone Number | 6192293909 |
| Fax Number | 6192293902 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558472779 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 6699 Alvarado Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921205244 |
| Phone Number | 6192293909 |
| Fax Number | 6192293902 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 20A8617 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W12026 | CA | GROUP PTAN | |
| CX058W | CA | PTAN |
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