Individual
JAMES J UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9853 PACIFIC HEIGHTS BLVD, STE B, SAN DIEGO, CA 92121-4721
(858) 888-7700
(858) 888-7721
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(858) 888-7700
(858) 888-7721
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01033259A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A42722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A427220
—
CA
01
—
FB470Z
MEDICARE PTAN-GENESIS HEALTHCARE PARTNERS
CA
Enumeration date
10/02/2006
Last updated
05/06/2015
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