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Organization
JOHN R PEDROTTY JR MD A PROF CORP
Active
Organization
JOHN R PEDROTTY JR MD A PROF CORP
Active
Other names
John R Pedrotty Jr MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD PEDROTTY JR. MD (PRESIDENT OWNER)
(619) 922-3660
Entity
Organization
Contact information
Practice address
1222 1ST ST STE 1, CORONADO, CA 92118-1491
(619) 922-3660
(619) 435-7115
Mailing address
831 G AVE, CORONADO, CA 92118-2519
(619) 922-3660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G080234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G802340
—
CA
Enumeration date
06/25/2006
Last updated
07/27/2026
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