Individual
DR. FREDERICK JAMES DELAVEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 GENESEE AVE, SUITE 740, LA JOLLA, CA 92037-1224
(858) 453-3842
(858) 535-9390
Mailing address
9850 GENESEE AVE, SUITE 740, LA JOLLA, CA 92037-1224
(858) 453-3842
(858) 535-9390
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A81923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA81923A
PPIN
CA
Enumeration date
08/31/2006
Last updated
04/09/2008
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