Individual
MR. CLIFFORD UGALDE FELARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3075 HEALTH CENTER DR, SAN DIEGO, CA 92123-2773
(858) 264-7423
(858) 636-2610
Mailing address
3075 HEALTH CENTER DR, SAN DIEGO, CA 92123-2773
(858) 264-7423
(858) 636-2610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP21902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP21902
CALIFORNIA - BOARD OF REGISTERED NURSING
CA
Enumeration date
09/04/2012
Last updated
08/10/2022
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