Gary Vandenberg,jr., M.d.,inc.

NPI #1306355714 in La Jolla, California

Provider Information

NPI Number: 1306355714
Entity Type: Organization
Organization Name: Gary Vandenberg,jr., M.d.,inc.
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Sep 28, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 9834 GENESEE AVE STE 326
City: La Jolla
State: California
ZIP Code: 92037-1216
Phone: (858) 453-3813

Authorized Official

Name: GARY VANDENBERG, M.D.
Title: PRESIDENT
Phone: (858) 453-3813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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