Healthcare Provider Details

I. General information

NPI: 1285042945
Provider Name (Legal Business Name): MARICELA OCHOA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 DENNERY ROAD
SAN DIEGO CA
92154
US

IV. Provider business mailing address

710 DENNERY ROAD
SAN DIEGO CA
92154
US

V. Phone/Fax

Practice location:
  • Phone: 619-428-4088
  • Fax: 619-428-4063
Mailing address:
  • Phone: 619-428-4088
  • Fax: 619-428-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 40020
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: