Individual
MR. MICOL PAUL ZABALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3675 LOFBERG ST, SAN DIEGO, CA 92124-3221
(619) 318-8109
Mailing address
3675 LOFBERG ST, SAN DIEGO, CA 92124-3221
(619) 318-8109
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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