Individual
DR. ANNA L. KVASNICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130-3318
(858) 764-3000
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 764-9089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A75525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A755250
—
CA
Enumeration date
09/16/2006
Last updated
11/29/2021
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