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Contact Information

ALICE PONG ODONNELL, MD
3030 CHILDRENS WAY
SAN DIEGO, CA92123-4232
 Phone: 858-966-7785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALICE PONG ODONNELL · (Female)

NPI Number 1568533313
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2006
Last updated 08/19/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CA License # G75974
  • CA Medicaid 00G759740
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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