Organization
CARMEL VALLEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRYSTAL DE FREITAS M.D. (OWNER)
(858) 794-5437
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 315, SAN DIEGO, CA 92130-3082
(858) 794-5437
(858) 794-5439
Mailing address
12395 EL CAMINO REAL, SUITE 315, SAN DIEGO, CA 92130-3082
(858) 794-5437
(858) 794-5439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C50161
CA
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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