DR. JANICE PENTEWSTES SUDARIA M.D - NPI 1457550162 - Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Janice Pentewstes Sudaria M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JANICE PENTEWSTES SUDARIA M.D (NPI 1457550162) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1457550162

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JANICE PENTEWSTES SUDARIACredential: M.D

Location Address200 W ARBOR DRSan Diego, CA 92103-9001

Mailing Address4145 Maryland St, #6San Diego, CA 92103-2359 · (858) 361-2610

Phone(619) 543-1849

Sole ProprietorNo

Enumeration DateJuly 12, 2007

✔ NPI 1457550162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 W ARBOR DR, San Diego, CA 92103

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