Individual
VIGHNESH WALAVALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 GILMAN DR, LA JOLLA, CA 92093-5004
(858) 534-0455
Mailing address
18503 LINDA CIR, CERRITOS, CA 90703-6355
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A118337
CA
Other
Enumeration date
02/28/2012
Last updated
01/15/2016
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