Organization
LA JOLLA UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHRISTINE MAHOMED (PRACTICE MANAGER)
(858) 458-0099
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, #421, LA JOLLA, CA 92037-1223
(858) 458-0099
(858) 458-9330
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(858) 888-7700
(858) 888-7721
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
01/18/2012
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