Individual
DR. AGNES D. LETAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 455-9100
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G69484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G694840
—
CA
Enumeration date
01/17/2006
Last updated
10/07/2009
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