Provider Demographics
NPI:1568498145
Name:IONESCU, LUDMILLA N (MD)
Entity Type:Individual
Prefix:DR
First Name:LUDMILLA
Middle Name:N
Last Name:IONESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUDMILLA
Other - Middle Name:N
Other - Last Name:MAISEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 28199
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92198-0199
Mailing Address - Country:US
Mailing Address - Phone:858-613-8900
Mailing Address - Fax:858-618-1523
Practice Address - Street 1:15611 POMERADO RD
Practice Address - Street 2:SUITE 400
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2437
Practice Address - Country:US
Practice Address - Phone:858-675-3100
Practice Address - Fax:858-618-1523
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC130451207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH46557Medicare UPIN
FLE6087YMedicare ID - Type Unspecified
E6087YMedicare Oscar/Certification