Individual
JACLYN FRANCO GURECZNY VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A144447
CA
208000000X
Pediatrics Physician
Primary
A144447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JV3232267556
—
CA
Enumeration date
06/24/2015
Last updated
09/07/2021
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