Individual
GENE MARTIN CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(858) 644-6600
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(858) 644-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11871
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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