Individual
DR. MINI N. PATHRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 354-3601
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A43771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A437710
—
CA
01
—
300023890
RAILROAD MEDICARE
—
01
—
F581
CHAMPUS
—
Enumeration date
04/12/2006
Last updated
06/26/2009
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