Organization
SAN DIEGO NEONATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M ANDERSON M.D. (PRESIDENT)
(858) 939-4185
Entity
Organization
Contact information
Practice address
3003 HEALTH CENTER DR, SAN DIEGO, CA 92123-2700
(858) 939-4185
(858) 939-4972
Mailing address
PO BOX 500507, SAN DIEGO, CA 92150-0507
(858) 939-4185
(858) 939-4972
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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