Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 40600 | AZ |
N | 111NI0900X | Internist | 40600 | AZ |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A116436 | CA |
NPI | 1063625002 |
---|---|
Provider Name | Adrienne A Nassar |
First Address | San Diego, CA 92130-2807 |
Second Address | San Diego, CA 92130-2807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 29/11/2021 |