Individual
DR. IRENE CHENNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E 2ND AVE, SUITE 310, ESCONDIDO, CA 92025-4238
(760) 738-9985
(760) 738-0590
Mailing address
225 E 2ND AVE, SUITE 310, ESCONDIDO, CA 92025-4238
(760) 738-9985
(760) 738-0590
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G36959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G369590
—
CA
Enumeration date
08/18/2005
Last updated
07/08/2007
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