Individual
DR. THEODOROS FOTIOU KATSIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W ROBINSON AVE, SAN DIEGO, CA 92103-3942
(619) 379-8664
(619) 927-8756
Mailing address
405 W ROBINSON AVE, SAN DIEGO, CA 92103-3942
(619) 379-8664
(619) 927-8756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A78543
CA
207RI0200X
Infectious Disease Physician
Primary
A78543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A785430
—
CA
Enumeration date
05/18/2006
Last updated
02/10/2025
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