Individual
KAITLIN DVEIRA PALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1921
(619) 532-7792
Mailing address
262 CORALWOOD CT, CHULA VISTA, CA 91910-3029
(619) 288-7860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
145813
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2011
Last updated
01/15/2019
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