Organization
SAN DIEGO PEDIATRIC NEUROLOGY, INC.
Active
Organization
SAN DIEGO PEDIATRIC NEUROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHAELA CAVANAUGH (PRACTICE ADMINISTRATOR)
(858) 598-5472
Entity
Organization
Contact information
Practice address
3003 HEALTH CENTER DR, SAN DIEGO, CA 92123-2700
(858) 939-4185
(858) 939-4972
Mailing address
8555 AERO DR STE 340, SAN DIEGO, CA 92123-1740
(858) 384-7828
(858) 598-6344
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/30/2020
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