Individual
GIOVANNA CASOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 WEST ARBOR DR, MAIL CODE 8756, SAN DIEGO, CA 92103-8756
(619) 543-6633
(619) 543-3781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
G51575
CA
2085P0229X
Pediatric Radiology Physician
G51575
CA
2085R0202X
Diagnostic Radiology Physician
G51575
CA
2085R0204X
Vascular & Interventional Radiology Physician
G51575
CA
2085U0001X
Diagnostic Ultrasound Physician
G51575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G515750
—
CA
05
—
096413
—
AZ
Enumeration date
06/22/2006
Last updated
02/09/2019
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