Individual
JESUS SABALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9229 REGENTS RD UNIT 106, LA JOLLA, CA 92037-9192
(916) 501-1613
Mailing address
9229 REGENTS RD UNIT 106, LA JOLLA, CA 92037-9192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016884
CA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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