Individual
LAURA DECESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4150 REGENTS PARK ROW STE 345, LA JOLLA, CA 92037
(858) 207-3117
(858) 240-4029
Mailing address
28078 BAXTER RD STE 530, MURRIETA, CA 92563-1405
(858) 207-3117
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125070479
IL
208600000X
Surgery Physician
Primary
A196464
CA
208C00000X
Colon & Rectal Surgery Physician
196464
CA
Other
Enumeration date
03/20/2017
Last updated
04/04/2026
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