Individual provider · Type 1 NPI

Mallory Joy Ranninger Owen, MD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1992384168 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Call (858) 576-1700 Map

Mailing address

5373 La Jolla Blvd Unit 7
La Jolla, CA 92037-7957

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992384168

Mallory Joy Ranninger Owen, MD's National Provider Identifier is 1992384168, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Apr 5, 2021.