Individual
DR. ROLA KHEDRAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5073
(858) 964-3117
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5073
(858) 964-3117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A140216
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A140216
CA
207RC0000X
Cardiovascular Disease Physician
A140216
CA
Other
Enumeration date
04/02/2014
Last updated
03/01/2022
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