Individual
REBECCA NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-0004
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101279697
VA
208D00000X
General Practice Physician
Primary
0101279697
VA
Other
Enumeration date
04/16/2022
Last updated
05/29/2025
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