Dr. Rebecca Mardach
Pediatrician Clinical Genetics (M.D.)
3030 Childrens Way
San Diego
, California 92123
Dr. Rebecca Mardach
Pediatrician Clinical Genetics (M.D.)
3030 Childrens Way
San Diego
, California 92123
(858) 309-6300
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Rebecca Mardach
- 3020 Childrens Way # Mc5003
- San Diego, CA
- Zip : 92123-4223
- Phone : (858) 309-6300
Second Address
- Dr. Rebecca Mardach
- 3030 Childrens Way
- San Diego, CA
- Zip : 92123
- Phone : (619) 543-7800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | A45110 | CA |
| N | 208000000X | Pediatrician | A45110 | CA |
National Provider Identifier
| NPI | 1457330607 |
|---|---|
| Provider Name | Dr. Rebecca Mardach |
| First Address | San Diego, CA 92123-4223 |
| Second Address | San Diego, CA 92123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2006 |
| Last Update Date | 03/06/2019 |
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.