Individual
DR. PAMELA RESNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 WASHINGTON ST STE 725, SAN DIEGO, CA 92103-2241
(619) 299-2570
(619) 299-2216
Mailing address
PO BOX 87729, SAN DIEGO, CA 92138-7729
(619) 285-5990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G80358
CA
207RP1001X
Pulmonary Disease Physician
Primary
G80358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G803580
—
CA
Enumeration date
04/06/2006
Last updated
10/07/2021
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