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Organization

CARMELITA L UY MD,INC

Active
Other names
LABODA PEDIATRIC CENTER, INC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARMELITA LUNA UY M.D. (PRESIDENT)
(619) 216-8500
Entity
Organization

Contact information

Practice address
2036 DAIRY MART RD, SUITE 129, SAN YSIDRO, CA 92173-1883
(619) 662-1088
(619) 662-1097
Mailing address
1040 TIERRA DEL REY, SUITE 107, CHULA VISTA, CA 91910-7865
(619) 216-8500
(619) 216-8511

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
C50548
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C505481
CA
Enumeration date
06/03/2008
Last updated
06/03/2008
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