Individual
DR. LEJLA AGANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A 101098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103605
—
MA
01
—
478746
TUFTS HEALTH PLAN
MA
01
—
J28828
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
05/06/2022
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