Organization
HILLCREST UROLOGICAL MEDICAL GRP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA VANDERWERF (CONTRACTS SPECIALIST)
(858) 888-7700
Entity
Organization
Contact information
Practice address
4060 4TH AVE, SUITE 310, SAN DIEGO, CA 92103-2116
(619) 297-4707
(619) 297-2448
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(858) 888-7700
(858) 888-7721
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A44719
CA
Other
Enumeration date
08/16/2006
Last updated
04/01/2013
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