Individual
DR. LYDIA CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10150 SORRENTO VALLEY RD, SUITE 320, SAN DIEGO, CA 92121-1635
(858) 454-4235
(858) 454-4644
Mailing address
PO BOX 910229, SAN DIEGO, CA 92191-0229
(858) 564-1400
(858) 564-1500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G58166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G581660
—
CA
Enumeration date
05/15/2006
Last updated
12/22/2021
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