Individual
MR. CARLOS FERNANDO VALLBONA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
256 LANDIS AVE, 3RD FLOOR, CHULA VISTA, CA 91910-2650
(619) 426-9600
(619) 426-4112
Mailing address
256 LANDIS AVE, 3RD FLOOR, CHULA VISTA, CA 91910-2650
(619) 426-9600
(619) 426-4112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
18386
CA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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