Individual
PATRICK GEORGE MCCALLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101, LA MESA, CA 91942
(619) 464-3353
(619) 464-6720
Mailing address
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101, LA MESA, CA 91942
(619) 464-3353
(619) 464-6720
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G64989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG6989A
MEDICARE PTAN
CA
Enumeration date
07/13/2006
Last updated
04/15/2013
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