Individual
DR. KATHLEEN FUMIKO SARMIENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
(858) 546-1754
Mailing address
3350 LA JOLLA VILLAGE DR, MAIL CODE 111J, SAN DIEGO, CA 92161-0002
(858) 552-8585
(858) 546-1754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A117503
CA
207R00000X
Internal Medicine Physician
D0064792
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A117503
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D64792
MD
207RP1001X
Pulmonary Disease Physician
A117503
CA
207RP1001X
Pulmonary Disease Physician
D64792
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A117503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417537900
—
MD
01
—
895016-02 & 03
BLUE CROSS/BLUE SHIELD
MD
01
—
S062-0353
BLUE CROSS/BLUE SHIELD - REGIONAL
MD
Enumeration date
08/12/2006
Last updated
07/22/2011
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