Individual
DR. CARLA G. FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11440 SIR FRANCIS DRAKE DR, LA MESA, CA 91941-7266
(619) 251-8625
Mailing address
11440 SIR FRANCIS DRAKE DR, LA MESA, CA 91941-7266
(619) 251-8625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G39405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP8881
PALMETTO GBA-RAILROAD MED
CA
05
—
GR0028400
—
CA
Enumeration date
04/14/2006
Last updated
01/07/2022
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