Organization
LA MESA OB GYN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S SEGNIT MD (PRESIDENT)
(619) 463-7775
Entity
Organization
Contact information
Practice address
8851 CENTER DR, STE 210, LA MESA, CA 91942
(619) 463-7775
(619) 463-4181
Mailing address
8851 CENTER DR, STE 210, LA MESA, CA 91942
(619) 463-7775
(619) 463-4181
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ22298Z
BLUE SHEILD
—
Enumeration date
10/03/2006
Last updated
08/12/2010
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