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Individual

DR. KEN D. PISCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8819
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G47007
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G470070
CA
Enumeration date
04/12/2006
Last updated
06/26/2009
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