Individual
DR. ALICE PONG O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 CHILDRENS WAY, SAN DIEGO, CA 92123-4232
(858) 966-7785
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G75974
CA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
G75974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G759740
—
CA
Enumeration date
11/13/2006
Last updated
08/19/2025
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