Individual
ADRIA JIMENEZ BACARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A161861
CA
208000000X
Pediatrics Physician
A161861
CA
Other
Enumeration date
03/30/2015
Last updated
07/18/2022
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