Frederick J De La Vega, MD
NPI #1083028898 in La Jolla, California
Provider Information
- NPI Number
- 1083028898
- Entity Type
- Organization
- Organization Name
- Frederick J De La Vega, MD
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 19, 2014
- Last Updated
- Jun 19, 2014
Practice Location
- Address
- 9834 GENESEE AVE
- Address 2
- 411
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1223
- Phone
- (858) 677-1755
Authorized Official
- Name
- DR. FREDERICK J. DE LA VEGA, M.D.
- Title
- OWNER
- Phone
- (858) 677-1755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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