Individual
DR. IVONNE ELIZABETH DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9400 RUFFIN CT STE B, SAN DIEGO, CA 92123-5399
(858) 874-1033
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A49734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A497340
—
CA
Enumeration date
11/15/2006
Last updated
03/01/2022
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