Individual
DR. AUDRIE MARIE MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
678 3RD AVE, CHULA VISTA, CA 91910-5736
(619) 662-4100
Mailing address
435 H STREET, CV112, CHULA VISTA, CA 91910
(951) 219-4532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A190024
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2022
Last updated
07/25/2025
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