Individual
FEI BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037
(858) 554-8605
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8605
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
244274-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A124720
CA
Other
Enumeration date
10/26/2009
Last updated
08/01/2018
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