Organization
MARILYN KAUFHOLD, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN KAUFHOLD M.D. (PRESIDENT)
(619) 295-4283
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, MC5014, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
2223 WHITMAN ST, SAN DIEGO, CA 92103-1128
(619) 295-4283
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
C33767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295806057
NAT'L PROVIDER # - TYPE 1
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
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