Organization · Type 2 NPI

Frederick J de la Vega, MD

Specialist · La Jolla, CA

NPI number 1083028898 Active

Practice location

9834 Genesee Ave, 411
La Jolla, CA 92037-1223

Call (858) 677-1755 Map

Fax (858) 677-1771

Mailing address

23052 Alicia Pkwy, # 619
Mission Viejo, CA 92692-1643

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA81923 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083028898

Frederick J de la Vega, MD's National Provider Identifier is 1083028898, issued on Jun 19, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Jolla, CA. The record was last updated on Jun 19, 2014.