PEDIATRIC ENDOCRINOLOGY OF SAN DIEGO MEDICAL GROUP INC
Medical Practice at Frost St, San Diego, CA

License number
California FNP 31721
Category
Medical Practice
Type
Specialist
Owner
Name: JOHN LIGHTFOOT
Title: VICE PRESIDENT
Phone: (858) 442-5567
Address
Address 2
7920 Frost St SUITE 304B, San Diego, CA 92123
PO Box 3005, Rancho Santa Fe, CA 92067
National Provider ID: 1306854476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC ENDOCRINOLOGY OF SAN DIEGO MEDICAL GROUP, INC

Rancho Santa Fe, CA  -  San Diego, CA

Industry:
Medical Doctor's Office
Registration:
Oct 24, 2003
Addresses:
PO Box 3005, Rancho Santa Fe, CA 92067 (Physical)
7910 Frost St, San Diego, CA 92123
State ID:
02299073
Business type:
Articles of Incorporation
President:
Sherry L. Franklin (President)

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