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Organization
JEAN RIZKALLAH, MD, INC
Active
Organization
JEAN RIZKALLAH, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RIZKALLAH M.D. (PHYSICIAN/OWNER)
(619) 691-1990
Entity
Organization
Contact information
Practice address
450 FOURTH AVE., STE 408, CHULA VISTA, CA 91910-4430
(619) 691-1990
(619) 691-5977
Mailing address
450 FOURTH AVE., STE. 408, CHULA VISTA, CA 91910-4430
(619) 691-1990
(619) 691-5977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A93296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003800368
—
CA
Enumeration date
06/08/2010
Last updated
12/20/2011
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