Individual
DR. ERNEST V. BELEZZUOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-7511
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-7511
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
G74168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G741680
—
CA
Enumeration date
10/12/2006
Last updated
01/31/2008
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