=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699967083
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MONICA CRISTINA BUDIANU M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/09/2007
-----------------------------------------------------
Last Update Date | 04/12/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7425 MISSION VALLEY RD SUITE 202
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92108-4409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-245-2355
-----------------------------------------------------
Fax | 619-245-2922
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10790 RANCHO BERNARDO RD SUITE 202
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92127-5705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-245-2355
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | A120655
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | A 120655
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------