Individual
DR. NANCY CARBALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 GILMAN DR, MC 0965, LA JOLLA, CA 92093-0965
(858) 822-4434
Mailing address
5092 GUAVA AVENUE, UNIT 124, LA MESA, CA 91942-8320
(310) 893-3256
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A159630
CA
208D00000X
General Practice Physician
A159630
CA
Other
Enumeration date
03/19/2016
Last updated
05/17/2026
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