Provider Demographics
NPI:1689755720
Name:THORISDOTTIR, HILDA KLARA (MD)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:KLARA
Last Name:THORISDOTTIR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3350 LA JOLLA VILLAGE DR
Mailing Address - Street 2:111 N
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1806
Mailing Address - Country:US
Mailing Address - Phone:858-552-8585
Mailing Address - Fax:858-642-6325
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR
Practice Address - Street 2:111 N
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1806
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:858-642-6325
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA50730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAVADOOOMedicare UPIN