Healthcare Provider Details

I. General information

NPI: 1790896140
Provider Name (Legal Business Name): CHERYL D WRIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16950 VIA TAZON
SAN DIEGO CA
92127-1607
US

IV. Provider business mailing address

16950 VIA TAZON
SAN DIEGO CA
92127-1607
US

V. Phone/Fax

Practice location:
  • Phone: 858-521-2340
  • Fax: 858-521-2314
Mailing address:
  • Phone: 858-521-2340
  • Fax: 858-521-2314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA43238
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: