Organization
SAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO EDUARDO EYZAGUIRRE M.D. (PHYSICIAN/ CEO)
(619) 691-0001
Entity
Organization
Contact information
Practice address
401 H ST, SUITE #3, CHULA VISTA, CA 91910-4321
(619) 691-0001
(619) 691-0111
Mailing address
401 H ST, SUITE #3, CHULA VISTA, CA 91910-4321
(619) 691-0001
(619) 691-0111
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A42572
CA
Other
Enumeration date
08/11/2006
Last updated
07/21/2022
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