Individual
DR. THEODORE LUKE GERMANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
561 SAXONY PL STE 101, ENCINITAS, CA 92024-7700
(760) 503-4703
Mailing address
561 SAXONY PL STE 101, ENCINITAS, CA 92024-7700
(760) 503-4703
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A174881
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A174881
CA
Other
Enumeration date
03/28/2016
Last updated
08/13/2023
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