Individual
ANTHONY J MEDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037
(858) 657-7000
Mailing address
FILE NO 54826, LOS ANGELES, CA 90074-4826
(888) 486-4380
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A82626
CA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
A82626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A826260
—
CA
Enumeration date
06/10/2006
Last updated
05/23/2023
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