Provider Demographics
NPI:1356584015
Name:CEPONIENE, RITA (MD)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:CEPONIENE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8950 VILLA LA JOLLA DR
Mailing Address - Street 2:SUITE C112
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1714
Mailing Address - Country:US
Mailing Address - Phone:858-822-5871
Mailing Address - Fax:858-822-5743
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:619-543-3500
Practice Address - Fax:619-543-6737
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2021-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1191052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology