Dr. Elizabeth Grace Ingulli
Pediatric Nephrologist
8001 Frost St Entrance 10
San Diego
, California 92123-2746
Dr. Elizabeth Grace Ingulli
Pediatric Nephrologist
8001 Frost St Entrance 10
San Diego
, California 92123-2746
(858) 309-6301
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Elizabeth Grace Ingulli
- 3860 Calle Fortunada Ste #210
- San Diego, CA
- Zip : 92123-4802
- Fax : (858) 309-6301
- Phone : (858) 309-6303
Second Address
- Dr. Elizabeth Grace Ingulli
- 8001 Frost St Entrance 10
- San Diego, CA
- Zip : 92123-2746
- Phone : (858) 966-8052
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | G87981 | CA |
National Provider Identifier
| NPI | 1811919244 |
|---|---|
| Provider Name | Dr. Elizabeth Grace Ingulli |
| First Address | San Diego, CA 92123-4802 |
| Second Address | San Diego, CA 92123-2746 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 14/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.