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1336208917
JAY P. MONGIARDO
SAN DIEGO, CA
NPI
1336208917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A63772)
Enumeration Date
2006-12-08
Last Update Date
2021-12-01
Business Address
JAY P. MONGIARDO MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
JAY P. MONGIARDO MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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