Individual
DR. MARJAN ETESAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-6158
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-6158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127596
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A127596
CA
208M00000X
Hospitalist Physician
A127596
CA
Other
Enumeration date
06/15/2010
Last updated
06/12/2023
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