Agereversalmd Com a Professional Corporation
Agereversalmd Com a Professional Corporation is a Gynecology Physician in LA Jolla, California. Works from 2 locations. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
3252 Holiday Ct Ste 211LA Jolla, CA 92037-0027
Phone: (858) 776-0544
Fax: (760) 692-4411
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1207 Carlsbad Village Dr Ste Q, Carlsbad, CA 92008-1958 — (760) 944-9200
Specialties & licences
| Public Health or Welfare Agency (primary) | Taxonomy 251K00000X |
|---|---|
| Gynecology Physician | Taxonomy 207VG0400X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
| Pain Clinic/Center | Taxonomy 261QP3300X |
Record details
| NPI number | 1194450023 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phillip Milgram — Ceo · (858) 776-0544 |
| NPI enumerated | July 24, 2022 |
| Last updated in NPPES | July 24, 2022 |
| Certification date | July 24, 2022 |
| Mailing address | 444 N El Camino Real Spc 123, Encinitas, CA 92024-1317 |
Other providers in LA Jolla
-
San Diego Surgical Assistants, Inc
9850 Genesee Ave Ste 640, LA Jolla, CA 92037-1217 · (858) 677-0777