Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A151634 | CA |
NPI | 1013379171 |
---|---|
Provider Name | Dr. Megan Tresenriter |
First Address | San Diego, CA 92103-9000 |
Second Address | San Diego, CA 92103-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2016 |
Last Update Date | 24/06/2020 |