Individual
COREY BROOKE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-8036
Mailing address
3020 CHILDRENS WAY, MC5075, SAN DIEGO, CA 92123-4223
(858) 966-8036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A96494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A964940
—
CA
01
—
8BQ028
BCBS
TX
Enumeration date
12/18/2006
Last updated
09/10/2014
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