Provider Demographics
NPI:1790262210
Name:DRZYMALSKI, MONIKA (DO)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:DRZYMALSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9850 GENESEE AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1208
Mailing Address - Country:US
Mailing Address - Phone:858-554-1212
Mailing Address - Fax:858-795-1195
Practice Address - Street 1:3180 UNIVERSITY AVE STE 120
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-2046
Practice Address - Country:US
Practice Address - Phone:858-529-7229
Practice Address - Fax:858-795-1195
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS020971207Q00000X
PAOT018886207Q00000X
CA19474207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine