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Individual

DR. JORGE PORRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
158 C AVE, CORONADO, CA 92118-1420
(619) 435-5400
Mailing address
158 C AVE, CORONADO, CA 92118-1420
(619) 435-5400

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
C50395
CA

Other

Enumeration date
07/04/2006
Last updated
05/01/2009
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