Individual
CARRIE LYNN CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 3RD AVE STE 402, SAN DIEGO, CA 92103-5639
(619) 819-7227
(619) 299-7430
Mailing address
3330 3RD AVE STE 402, SAN DIEGO, CA 92103-5639
(619) 819-7227
(619) 299-7430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A72744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A727440
—
CA
Enumeration date
08/05/2006
Last updated
07/09/2020
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