County Of San Diego

Specialty details in registry · San Diego, CA

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At a glance

3853 Rosecrans St, San Diego, CA 92110-3115

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

3853 Rosecrans St
San Diego, CA 92110-3115
Professional details: NPI, taxonomy & registry record
NPI1275656902
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
283Q00000X
Enumeration date
Apr 9, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

283Q00000X · Primary

License reported: RN 356095 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3853 Rosecrans St
San Diego, CA 92110-3115
Phone
(619) 692-8200
Mailing address
PO BOX 8225

LA JOLLA, CA 920388225
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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