Individual
DR. CODY RIALS BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A173118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06639300
—
MS
Enumeration date
05/26/2015
Last updated
08/20/2021
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