Individual
GIANNI GIANCASPRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(514) 924-2713
Mailing address
13136 KELLAM CT APT 143, SAN DIEGO, CA 92130-1261
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A174227
CA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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