Jean A. Rizkallah MD

NPI 1003800368 - Family Medicine - 207Q00000X

NPI Details
NPI 1003800368
Gender Male
Enumeration Date 09/01/2005
Last Updated 03/30/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
450 FOURTH AVENUE
STE. 408
CHULA VISTA CA, 91910-4430, US
Phone (619) 691-1990
Fax (619) 691-5977
Business Location
450 FOURTH AVENUE
STE. 408
CHULA VISTA CA, 91910-4430, US
Phone (619) 691-1990
Fax (619) 691-5977
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A93296
Remove 1003800368 NPI Number
 

According to our database, Dr. Jean A. Rizkallah MD NPI is 1003800368, taxonomy code is 207Q00000X and license number is A93296, license state is located at California. Jean A. Rizkallah MD physically located at 450 Fourth Avenue, Chula Vista CA, 91910-4430. NPI Number Jean A. Rizkallah MD has the Individual type.

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1003800368 NPI number is provided on an as is basis without warranty of any kind. 1003800368 is maintained by the National Plan & Provider Enumeration System. The contents of Jean A. Rizkallah MD are for informational purposes only.