Individual
LUCA VASSALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E 2ND AVE, ESCONDIDO, CA 92025-4212
(760) 291-6700
Mailing address
225 E 2ND AVE, ESCONDIDO, CA 92025-4212
(760) 291-6700
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G71049
CA
207Y00000X
Otolaryngology Physician
MD-6087
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G710490
—
CA
Enumeration date
07/18/2005
Last updated
08/15/2022
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