Organization
BINA ADIGOPULA, MD, INC.
Active
Other names
GROSSMONT PEDIATRICS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINA ADIGOPULA M.D. (PRESIDENT)
(619) 698-2184
Entity
Organization
Contact information
Practice address
6942 UNIVERSITY AVE, A, LA MESA, CA 91942-5963
(619) 698-2184
(619) 698-2084
Mailing address
6942 UNIVERSITY AVE, A, LA MESA, CA 91942-5963
(619) 698-2184
(619) 698-2084
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
FNP32339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780865352
—
CA
01
—
32339
FNP
CA
Enumeration date
11/23/2007
Last updated
03/27/2017
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