Individual
DR. BRIAN JOHN FRUGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, MAIL CODE 8770, SAN DIEGO, CA 92103-8770
(619) 543-5297
Mailing address
PO BOX 232410, MAIL CODE 8770, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A101255
CA
207R00000X
Internal Medicine Physician
A101255
CA
208000000X
Pediatrics Physician
A101255
CA
2080P0203X
Pediatric Critical Care Medicine Physician
A101255
CA
Other
Enumeration date
07/08/2008
Last updated
02/21/2017
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