Individual
EWA K CARRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3855 HEALTH SCIENCES DRIVE #0960, LA JOLLA, CA 92093-0960
(858) 822-6600
(858) 822-1111
Mailing address
3855 HEALTH SCIENCES DRIVE # 0960, LA JOLLA, CA 92093-0960
(858) 822-6600
(858) 822-1111
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A47844
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A47844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A478440
—
CA
Enumeration date
10/31/2006
Last updated
09/11/2025
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