Bina Adigopula, MD, INC.
Pediatrics in La Mesa, CA. Organization (NPI-2).
NPI number1780865352
StatusActive
Last updated in NPPESMar 27, 2017
Details
- NPI
- 1780865352
- Entity type
- Organization (NPI-2)
- Legal business name
- Bina Adigopula, MD, INC.
- Organization subpart
- No
- Enumeration date
- Nov 23, 2007
- Last updated
- Mar 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | FNP32339 | CA | Yes |
Other names
- Grossmont Pediatrics, INC. (Doing Business As)
Practice location
6942 University AveA
La Mesa, CA 91942-5963
Phone 619-698-2184 · Fax 619-698-2084
Mailing address
6942 University AveA
La Mesa, CA 91942-5963
Phone 619-698-2184 · Fax 619-698-2084
Authorized official
Bina Adigopula
President
6196982184
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