Individual
MS. MARIALYN JO SARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVENUE, STE. 380, LA JOLLA, CA 92037
(858) 452-6226
(858) 452-6235
Mailing address
9850 GENESEE AVE., STE 410, LA JOLLA, CA 92037
(858) 452-6226
(858) 452-6235
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G51066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WG510660
—
CA
Enumeration date
10/10/2008
Last updated
09/15/2011
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