Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY VANDENBERG, MD
Active Sole ProprietorGARY VANDENBERG, MD is a Legal Medicine healthcare provider located in LA JOLLA, California. NPI 1912122680 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · LA JOLLA, CA
Registration Details
- NPI Number
- 1912122680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.374832417328 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C33053 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9834 GENESEE AVESUITE 326LA JOLLA, CA, 920371223Browse CA providers · Browse ZIP 92037
- Phone
- 8584533813
- Fax
- 8584531727
- Primary Specialty
-
Legal Medicine
173000000X
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.