Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP GEORGE BROECKEL JR., MD
Active Sole ProprietorPHILIP GEORGE BROECKEL JR., MD is a Emergency Medical Services healthcare provider located in LA JOLLA, California. NPI 1629146600 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · LA JOLLA, CA
Registration Details
- NPI Number
- 1629146600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.727229230238 yrs)
- Last Updated
- Oct 19, 2010
- License
-
G37332 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9888 GENESEE AVELA JOLLA, CA, 920371205Browse CA providers · Browse ZIP 92037
- Phone
- 8586266151
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Other Emergency Medical Services Providers in LA JOLLA, CA
| Name | Credential | NPI |
|---|---|---|
| MARTIN GRIGLAK | MD | 1821166992 |
| DR. JOSEPH FRANCIS VIGLOTTI | MD | 1427218858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.