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Individual

DR. JOEL LARRALDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3914 MURPHY CANYON RD, SUITE# A206, SAN DIEGO, CA 92123-4491
(858) 974-9766
(858) 974-9756
Mailing address
3914 MURPHY CANYON RD, SUITE# A206, SAN DIEGO, CA 92123-4491
(858) 974-9755
(858) 974-9756

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G30829
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G308290
CA
Enumeration date
07/01/2006
Last updated
12/02/2013
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