FREDERICK J DE LA VEGA, MD

LA JOLLA, CA
NPI1083028898
Entity TypeOrganization
Authorized ContactFREDERICK J. DE LA VEGA
Owner
858-677-1755
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A81923)
Enumeration Date2014-06-19
Last Update Date2014-06-19
Business Address
FREDERICK J DE LA VEGA, MD
9834 GENESEE AVE 411
LA JOLLA, CA 92037-1223
Phone number: 858-677-1755
Mailing Address
FREDERICK J DE LA VEGA, MD
23052 ALICIA PKWY # 619
MISSION VIEJO, CA 92692-1643
Phone number: 714-808-9797
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