Individual provider · Type 1 NPI
Mary Jane Bertulfo
Health Service Clinic/Center · San Diego, CA
NPI number
1477407385
Active
Practice location
4029 Chamoune Ave Apt 3
San Diego, CA 92105-1844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Other health service clinic/center providers in San Diego
About NPI 1477407385
Mary Jane Bertulfo's National Provider Identifier is 1477407385, issued on Feb 26, 2026. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in San Diego, CA. The record was last updated on Feb 26, 2026.