Jose Ivan Quiceno M.D.

NPI 1093707580 - Ophthalmology - 207W00000X

NPI Details
NPI 1093707580
Gender Male
Enumeration Date 08/19/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
10666 N TORREY PINES RD
SCMG DIVISION OF OPHTHALMOLOGY
LA JOLLA CA, 92037-1027, US
Phone (858) 554-9108
Fax
Business Location
865 3RD AVE
SUITE 121
CHULA VISTA CA, 91911-1300, US
Phone (619) 426-3400
Fax
Toxanomy
Taxonomy Code 207W00000X
License State California
License Number A53660
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According to our database, Dr. Jose Ivan Quiceno M.D. NPI is 1093707580, taxonomy code is 207W00000X and license number is A53660, license state is located at California. Jose Ivan Quiceno M.D. physically located at 10666 N Torrey Pines Rd, La Jolla CA, 92037-1027. NPI Number Jose Ivan Quiceno M.D. has the Individual type.

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1093707580 NPI number is provided on an as is basis without warranty of any kind. 1093707580 is maintained by the National Plan & Provider Enumeration System. The contents of Jose Ivan Quiceno M.D. are for informational purposes only.