Individual
JOHANNES M. NEUENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-8638
(858) 554-9283
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A9506
CA
207P00000X
Emergency Medicine Physician
L9392
TX
207Q00000X
Family Medicine Physician
20A9506
CA
207Q00000X
Family Medicine Physician
L9392
TX
Other
Enumeration date
04/27/2006
Last updated
11/06/2020
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