Provider Demographics
NPI:1700857703
Name:JAMES, VERONIQUE M (MD)
Entity Type:Individual
Prefix:DR
First Name:VERONIQUE
Middle Name:M
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3860 CALLE FORTUNADA
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:7300 GIRARD AVENUE
Practice Address - Street 2:#106
Practice Address - City:LA VOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-459-4351
Practice Address - Fax:858-459-4399
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2011-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC50068208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC50068OtherMD LICENSE
CAC50068OtherMD LICENSE