Individual
DAVID P CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5222
(858) 964-3116
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5222
(858) 964-3116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A124595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427369271
—
CA
Enumeration date
06/27/2010
Last updated
03/19/2020
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