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Individual

DR. YURI REZNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 686-3935
(619) 686-3874
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(619) 686-3935

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105767
CA
208M00000X
Hospitalist Physician
Primary
A105767
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W14158
GROUP PTAN
CA
Enumeration date
03/21/2007
Last updated
08/23/2021
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