Individual
CARLY F HADJEASGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3703
(619) 275-8000
Mailing address
1675 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3703
(619) 275-8000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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