Individual
PETER D YORGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 FROST ST, ENTRANCE 10, SAN DIEGO, CA 92123-2746
(858) 966-8052
Mailing address
3860 CALLE FORTUNADA, STE #210, SAN DIEGO, CA 92123-4802
(858) 309-6303
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G64029
CA
2080P0210X
Pediatric Nephrology Physician
Primary
G64029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G640290
—
CA
Enumeration date
07/21/2006
Last updated
10/14/2011
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