MEDICARE: DR. WAYNE STEWART TRUE M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G62330	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G62330	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1144220997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE STEWART TRUE M.D., M.P.H.

Provider Business Mailing Address
First Line	:	8881 FLETCHER PKWY
Second Line	:	SUITE 105
City	:	LA MESA
State	:	CA
Zip	:	91941-3514
Country	:	US
Telephone Number	:	858-499-2600
Fax Number	:	619-462-9625

Provider Business Practice Location Address
First Line	:	8881 FLETCHER PKWY
Second Line	:	SUITE 105
City	:	LA MESA
State	:	CA
Zip	:	91941-3514
Country	:	US
Telephone Number	:	858-499-2600
Fax Number	:	619-462-9625

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	03/07/2023

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