Organization
JOHN A LA FATA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A LA FATA MD (ANNE BILLETER PRACTICE ADMINISTRATO)
(760) 726-2180
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, SUITE 200, VISTA, CA 92083-6031
(760) 726-2180
(760) 726-9928
Mailing address
2067 W VISTA WAY, SUITE 200, VISTA, CA 92083-6031
(760) 726-2180
(760) 726-9928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G32987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG329870
—
CA
Enumeration date
06/25/2006
Last updated
11/21/2007
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