# CLELAND C. LANDOLT, M.D., INC.

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

## Provider details

- **NPI number:** 1972913424
- **Authorized official:** DR. CLELAND CAMPBELL LANDOLT M.D. (PRESIDENT)
- **Authorized official phone:** (858) 922-2335

## Contact information

- **Practice address:** 7790 VIA FRANCESCO, UNIT 5, SAN DIEGO, CA 92129-5153
- **Practice address phone:** (858) 922-2335
- **Mailing address:** 7790 VIA FRANCESCO, UNIT 5, SAN DIEGO, CA 92129-5153
- **Mailing address phone:** (858) 922-2335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G36319 | CA | Yes |

## Other

- **Enumeration date:** 05/06/2014
- **Last updated:** 05/06/2014