Individual
GRISELDA HIGUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5454 EL CAJON BLVD, SAN DIEGO, CA 92115-3621
(619) 515-2400
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
169681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806334
—
AZ
Enumeration date
12/15/2009
Last updated
09/03/2020
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