Individual
JONATHAN DEL RIO SALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9850 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037-1224
(858) 535-1075
Mailing address
6848 BRIARWOOD DR, CARLSBAD, CA 92011-3924
(805) 705-5514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA19298
CA
363AS0400X
Surgical Physician Assistant
Primary
PA 19298
CA
Other
Enumeration date
08/21/2007
Last updated
08/03/2012
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