Individual
DR. IOURI IVANOVICH SIMONENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E MAIN ST, EL CAJON, CA 92020-4007
(619) 515-2300
(619) 269-0674
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 269-0674
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A147937
CA
Other
Enumeration date
06/19/2008
Last updated
02/08/2021
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