Organization
UNIVERSITY OF CALIFORNIA SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA LYNN WHEATON-YOUNG AANC -BC (FNP MSN)
(619) 582-6950
Entity
Organization
Contact information
Practice address
4527 CONTOUR BLVD, UNIR 7, SAN DIEGO, CA 92115-3464
(619) 582-6950
Mailing address
4527 CONTOUR BLVD, UNIR 7, SAN DIEGO, CA 92115-3464
(619) 582-6950
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
478956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47856
ALL
CA
Enumeration date
05/01/2012
Last updated
05/01/2012
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