Individual
ASHA DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 BUNKER HILL ST, SUITE # 230, SAN DIEGO, CA 92109-5754
(858) 336-0468
Mailing address
3030 BUNKER HILL ST, SUITE # 230, SAN DIEGO, CA 92109-5754
(858) 336-0468
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G86193
CA
Other
Enumeration date
09/27/2006
Last updated
12/24/2016
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