# SAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265443444
- **Authorized official:** MARIO EDUARDO EYZAGUIRRE M.D. (PHYSICIAN/ CEO)
- **Authorized official phone:** (619) 691-0001

## Contact information

- **Practice address:** 401 H ST, SUITE \#3, CHULA VISTA, CA 91910-4321
- **Practice address phone:** (619) 691-0001
- **Practice address fax:** (619) 691-0111
- **Mailing address:** 401 H ST, SUITE \#3, CHULA VISTA, CA 91910-4321
- **Mailing address phone:** (619) 691-0001
- **Mailing address fax:** (619) 691-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A42572 | CA | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 07/21/2022