Individual
DR. LISA MARIE MORIKADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 626-6150
(585) 626-7117
Mailing address
PO BOX 661687, ARCADIA, CA 91066-1687
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G78266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G782660
—
CA
Enumeration date
07/10/2006
Last updated
07/02/2008
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