Individual
BLAINE LOVETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-5142
(858) 552-8585
Mailing address
727 SAPPHIRE ST UNIT 403, SAN DIEGO, CA 92109-1027
(504) 432-0093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A122893
CA
208M00000X
Hospitalist Physician
A122893
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2011
Last updated
08/17/2019
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