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Individual

DR. KRISTA MICHELLE RODRIGUEZ-BRUNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9834 GENESEE AVE STE 416, LA JOLLA, CA 92037-1264
(858) 458-1287
(858) 452-9160
Mailing address
9834 GENESEE AVE STE 416, LA JOLLA, CA 92037-1264
(858) 458-1287
(858) 452-9160

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A99037
CA
207Y00000X
Otolaryngology Physician
D70424
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037375300
MD
Enumeration date
05/08/2007
Last updated
10/21/2021
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