Individual
NEIL MAITRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5333
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A186167
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/06/2020
Last updated
09/11/2024
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