Ignacio, Kathlyn R.

Ignacio, Kathlyn R. is an individual health care provider with primary practice located at 2020 Genesee Ave , San Diego CA 92123-4219. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Ignacio, Kathlyn R. can be contacted via phone (858) 616-8400.

Contact Information

Primary practice address
2020 Genesee Ave San Diego CA 92123-4219
Phone: (858) 616-8400
Fax: (858) 569-0741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A46520 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A46520 California

Profile Details

NPI number 1912917345
LBN Legal business name Ignacio, Kathlyn R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912917345 NPPES
California MEDICAID 00A465200

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