Individual
ANNA RUTH SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9850 GENESEE AVE STE 660, LA JOLLA, CA 92037-1231
(858) 452-5054
Mailing address
9055 BALBOA AVE, SAN DIEGO, CA 92123-1509
(619) 849-3331
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/03/2026
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