Individual
DR. GONZALO RAFAEL BALLON-LANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4136 BACHMAN PL, SAN DIEGO, CA 92103-2028
(619) 238-1443
(619) 298-6188
Mailing address
4136 BACHMAN PL, SAN DIEGO, CA 92103-2028
(619) 238-1443
(619) 298-6188
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G41894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G418940
—
CA
Enumeration date
04/20/2007
Last updated
07/08/2007
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