Individual provider · NPI-1

James Alfonso Abeyta, IDC

Military Health Care Provider, Independent Duty Corpsman · San Diego, CA

NPI number1942448048
StatusActive
Last updated in NPPESJan 27, 2009

Details

NPI
1942448048
Entity type
Individual (NPI-1)
Name
James Alfonso Abeyta
Credential
IDC
Sex
Male
Sole proprietor
No
Enumeration date
Jan 27, 2009
Last updated
Jan 27, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

3402 Tarawa Rd
San Diego, CA 92155-5003

Phone 619-437-5539

Mailing address

3402 Tarawa Rd
San Diego, CA 92155-5003

Phone 619-437-5539

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Military Health Care Provider, Independent Duty Corpsman providers in San Diego, CA