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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY VANDENBERG,JR., M.D.,INC.

Active Organization

GARY VANDENBERG,JR., M.D.,INC. is a Primary Care Clinic organization located in LA JOLLA, California. NPI 1306355714 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · LA JOLLA, CA

Registration Details

NPI Number
1306355714
Provider Type
Organization
NPI Issued
Sep 28, 2017 (8.9222671688976 yrs)
Last Updated
Jul 21, 2022
License
C33053 (CA)

Practice Information

Address
9834 GENESEE AVE STE 326
LA JOLLA, CA, 920371216
Browse CA providers · Browse ZIP 92037
Phone
8584533813
Fax
8584531727
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in LA JOLLA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.