Lundeberg, Patricia M

Lundeberg, Patricia M is an individual health care provider with primary practice located at 2001 4Th Ave , San Diego CA 92101-2303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Lundeberg, Patricia M can be contacted via phone (858) 499-2777.

Contact Information

Primary practice address
2001 4Th Ave San Diego CA 92101-2303
Phone: (858) 499-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G56317 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X G56317 California

Profile Details

NPI number 1982799888
LBN Legal business name Lundeberg, Patricia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 25th, 2011 - about 13 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 1982799888 NPPES
California MEDICAID 00G563170

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