Individual
DR. JESSIE GARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3020 CHILDRENS WAY, MAIL CODE 5064, SAN DIEGO, CA 92123-4223
(858) 576-1700
(858) 966-6728
Mailing address
3020 CHILDRENS WAY, MAIL CODE 5064, SAN DIEGO, CA 92123-4223
(858) 576-1700
(858) 966-6728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A85447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A854470
—
CA
Enumeration date
11/22/2006
Last updated
11/29/2021
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