Individual
DR. MARY CATHERINE ZAHLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6896
Mailing address
10480 RUE RIVIERE VERTE, SAN DIEGO, CA 92131-2250
(858) 578-7826
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G038894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165536
CMS
CA
Enumeration date
02/10/2006
Last updated
03/17/2009
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