DAVID H BROIDE MB CHB
Allergy and Immunology
La Jolla, California
Provider NPI: 1760422992
Provider Information:DAVID H BROIDE MB CHB
Practice Location:
UCSD PERLMAN CLINIC 9350 CAMPUS POINT LA JOLLA, CA 92037 US
Tel: 858-657-8322 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207R00000X | Physicians Internal Medicine | CA | A38964 |
| Y | 207K00000X | Physicians Allergy & Immunology | CA | A38964 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A389640 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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