Individual
DR. CARL ELLISON FRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
9850 GENESEE AVE, SUITE 780, LA JOLLA, CA 92037-1224
(858) 625-7200
(858) 625-8363
Mailing address
9850 GENESEE AVE, SUITE 780, LA JOLLA, CA 92037-1224
(858) 625-7200
(858) 625-8363
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G69384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G693841
—
CA
Enumeration date
10/11/2006
Last updated
03/30/2017
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