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Individual

DR. JOHN G. KULDAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8880
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8880

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A75102
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A751020
BLUE SHIELD OF CA
05
00A751020
CA
01
F856
CHAMPUS
Enumeration date
01/17/2006
Last updated
04/11/2017
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