Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | A105792 | CA |
NPI | 1013160480 |
---|---|
Provider Name | Dr. Alfred Alexander Joshua |
First Address | San Diego, CA 92103-9000 |
Second Address | San Diego, CA 92103-9001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2008 |
Last Update Date | 03/02/2015 |