Doctor Name: | MARTHA CAPIZZI |
NPI Number: | 1265545073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A34221 |
Business Practice Address: | 2937 Beyer Blvd San Diego, CA - 921544604 |
Business Phone Number: | 6194230343 |
Business Fax Number: | 6194230340 |
Mailing Address: | 340 4th Ave Suite #11, CHULA VISTA |
State: | CA |
Postal Code: | 919103813 |
Phone Number: | 6194226158 |
Fax Number: | 6194222019 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A34221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |