Provider Demographics
NPI:1811054604
Name:PRICE, ERIN MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4060 FOURTH AVE
Mailing Address - Street 2:SUITE 440
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2116
Mailing Address - Country:US
Mailing Address - Phone:619-298-8891
Mailing Address - Fax:619-298-4997
Practice Address - Street 1:4060 FOURTH AVE STE 508
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2121
Practice Address - Country:US
Practice Address - Phone:619-298-8891
Practice Address - Fax:619-298-4997
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2024-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY236112208600000X
CAC56016208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I48004Medicare UPIN
I48004Medicare ID - Type Unspecified