GARY VANDENBERG,JR., M.D.,INC.

LA JOLLA, CA
NPI1306355714
Entity TypeOrganization
Authorized ContactGARY VANDENBERG
President
858-453-3813
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: CA  C33053)
Enumeration Date2017-09-28
Last Update Date2022-07-21
Business Address
GARY VANDENBERG,JR., M.D.,INC.
9834 GENESEE AVE STE 326
LA JOLLA, CA 92037-1216
Phone number: 858-453-3813
Mailing Address
GARY VANDENBERG,JR., M.D.,INC.
9834 GENESEE AVE STE 326
LA JOLLA, CA 92037-1216
Phone number: 858-453-3813