Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Dec 8, 2010
License(s)
G061465 (CA), g061465 (CA), G061465 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 8298 SUGARMAN DR | La Jolla, CA 92037-2221 | 858-349-6746 |
| LOCATION | 2650 CAMINO DEL RIO N | San Diego, CA 92108-1621 | 314-387-5763 |
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