Gary Vandenberg, Jr , MD, Inc
Gary Vandenberg, Jr , MD, Inc is a Primary Care Clinic/Center in LA Jolla, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9834 Genesee Ave Ste 326LA Jolla, CA 92037-1216
Phone: (858) 453-3813
Fax: (858) 453-1727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence C33053 (CA) |
|---|
Record details
| NPI number | 1306355714 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Vandenberg — President · (858) 453-3813 |
| NPI enumerated | September 28, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 9834 Genesee Ave Ste 326, La Jolla, CA 92037-1216 |
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