Provider Demographics
NPI:1184773673
Name:NUQUI, JOSIE CAHILIG (MD)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:CAHILIG
Last Name:NUQUI
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 1:10737 CAMINO RUIZ
Mailing Address - Street 2:SUITE 235
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2359
Mailing Address - Country:US
Mailing Address - Phone:858-578-4220
Mailing Address - Fax:858-578-4417
Practice Address - Street 1:10737 CAMINO RUIZ
Practice Address - Street 2:SUITE 235
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2359
Practice Address - Country:US
Practice Address - Phone:858-578-4220
Practice Address - Fax:858-578-4417
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71544207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15844OtherCOUNTY MEDICAL SERVICES
CAA71544Medicaid
CAH39891Medicare UPIN
CAWA71544AMedicare ID - Type UnspecifiedMEDICARE PART B