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Contact Information

REBECCA MARDACH, MD
3030 CHILDRENS WAY
SAN DIEGO, CA92123
 Phone: 619-543-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Clinical Biochemical Genetics

207SG0202X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for REBECCA MARDACH · (Female)

NPI # 1457330607
Status Active
Credentials MD
Entity Individual
Enumeration date 01/14/2006
Last updated 06/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A45110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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