Doctor Name: | MS. NANCY LOU SAJBEN |
NPI Number: | 1013997766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G30417 |
Business Practice Address: | 4130 La Jolla Village Drive Ste 301 La Jolla, CA - 920371481 |
Business Phone Number: | 8586220500 |
Business Fax Number: | 8586221400 |
Mailing Address: | 4130 La Jolla Village Drive, Ste 301 LA JOLLA |
State: | CA |
Postal Code: | 921201481 |
Phone Number: | 8586220500 |
Fax Number: | 8586221400 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | G30417 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |