Individual
PEDI MIRDAMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6919 LA JOLLA BLVD, LA JOLLA, CA 92037-5427
(858) 459-6919
Mailing address
11228 VISTA SORRENTO PKWY UNIT I300, SAN DIEGO, CA 92130-7622
(858) 253-1222
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND1106
CA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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