Individual
CAROL S. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(858) 499-2701
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(858) 499-2701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G51538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G515380
—
CA
Enumeration date
08/08/2006
Last updated
07/08/2007
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