MEDICARE: DR. ANGELO MICHAEL DEL RE M.D.

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	208000000X	Pediatrics Physician	129572	CA
2	208000000X	Pediatrics Physician	2012-01200	NC

General Provider Information

NPI Number	:	1275761371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELO MICHAEL DEL RE M.D.

Provider Business Mailing Address
First Line	:	9333 GENESEE AVE STE 250
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2139
Country	:	US
Telephone Number	:	858-966-8036
Fax Number	:

Provider Business Practice Location Address
First Line	:	9333 GENESEE AVE STE 250
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2139
Country	:	US
Telephone Number	:	858-215-1144
Fax Number	:

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

Provider Enumeration Date	:	06/26/2009
Last Update Date	:	11/22/2023

Similar Medicare Providers

1962361105 — DEL RE MEDICAL CORP
Practice Location Address:

9333 GENESEE AVE STE 250
SAN DIEGO, CA
92121-2139

Practice Phone: 858-215-1144
Practice Fax: 760-257-1951

1497914725 — DR. KAMRON MIRKARIMI M.D.
Practice Location Address:

9333 GENESEE AVE STE 250
SAN DIEGO, CA
92121-2139

Practice Phone: 619-810-7027
Practice Fax:

1497718415 — DR. LAWRENCE STUART WEINSTEIN M.D.
Practice Location Address:

4050 3RD AVE , APT. 111
SAN DIEGO, CA
92103-2139

Practice Phone: 516-841-5227
Practice Fax:

1437261427 — ALMA JEAN CHAPPELL
Practice Location Address:

2121 5TH AVE
SAN DIEGO, CA
92101-2139

Practice Phone: 619-233-3665
Practice Fax: 619-233-3656

1215003843 — DR. CHARLES F VON GUNTEN MD, PHD
Practice Location Address:

4314 MIDDLESEX DR
SAN DIEGO, CA
92116-2139

Practice Phone: 619-607-9564
Practice Fax:

1104977602 — DR. JERRY DANIEL AYERS MD
Practice Location Address:

2121 5TH AVE
SAN DIEGO, CA
92101-2139

Practice Phone: 619-683-9394
Practice Fax: 619-683-9228

Directions to “ DR. ANGELO MICHAEL DEL RE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.