Individual
JUAN CARLOS VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4008
Mailing address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A172415
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A172415
CA
Other
Enumeration date
05/18/2015
Last updated
09/25/2025
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