Provider Demographics
NPI:1235662792
Name:STURCHLER, MARIA DE LOURDES LADINO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA DE LOURDES
Middle Name:LADINO
Last Name:STURCHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 FIFTH AVENUE
Mailing Address - Street 2:MC MER35
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2507
Mailing Address - Country:US
Mailing Address - Phone:561-596-6498
Mailing Address - Fax:
Practice Address - Street 1:407 FIFTH AVENUE
Practice Address - Street 2:MC MER35
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103
Practice Address - Country:US
Practice Address - Phone:619-686-3893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA157846207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program