Individual
DR. DIANNE B. MCKAY
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) 784-9716
(858) 784-5933
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
(858) 784-5906
(858) 784-5933
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G86376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G863760
BLUE SHIELD CA
—
05
—
00G863760
—
CA
01
—
390008515
RAILROAD MEDICARE
—
01
—
F770
CHAMPUS
—
Enumeration date
01/27/2006
Last updated
05/21/2012
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