Individual
DR. MARY A. KALAFUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5400
(858) 964-3126
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G81598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G815980
—
CA
Enumeration date
03/24/2006
Last updated
01/07/2020
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