Organization
SAN DIEGO REGIONAL HEAD & NECK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY MANSFIELD MD (OWNER)
(619) 229-7100
Entity
Organization
Contact information
Practice address
6645 ALVARADO RD, STE 4000, SAN DIEGO, CA 92120-5208
(619) 229-7100
(619) 229-4938
Mailing address
6645 ALVARADO RD, STE 4000, SAN DIEGO, CA 92120-5208
(619) 229-7100
(619) 229-4938
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
FNP41747
CA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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