Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND1268 | CA |
NPI | 1154092203 |
---|---|
Provider Name | Georgi Stoychev |
First Address | San Diego, CA 92103-4536 |
Second Address | San Diego, CA 92103-4230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2021 |
Last Update Date | 27/09/2021 |