Individual
KATHLYN R. IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8400
(858) 569-0741
Mailing address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8400
(858) 569-0741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A46520
CA
2083X0100X
Occupational Medicine Physician
Primary
A46520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A465200
—
CA
Enumeration date
08/08/2006
Last updated
06/19/2013
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