Individual
MYRNA CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
865 3RD AVE, SUITE 133, CHULA VISTA, CA 91911-1300
(619) 428-1330
(619) 427-0134
Mailing address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 428-1330
(619) 428-7952
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A112627
CA
Other
Enumeration date
06/16/2008
Last updated
02/02/2011
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