# PERRI L WITTGROVE MD

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

## Provider details

- **NPI number:** 1306014402
- **Authorized official:** PERRI L WITTGROVE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (619) 326-0700

## Contact information

- **Practice address:** 6719 ALVARADO RD, \#302, SAN DIEGO, CA 92120-5270
- **Practice address phone:** (619) 326-0700
- **Practice address fax:** (619) 326-0703
- **Mailing address:** 6719 ALVARADO RD, \#302, SAN DIEGO, CA 92120-5270
- **Mailing address phone:** (619) 326-0700
- **Mailing address fax:** (619) 326-0703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | G56550 | CA | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 03/29/2018