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NPI Code Detail

MEDICARE: DR. KARLA JORGENSEN PONCE PHARMD

MEDICARE: DR. KARLA JORGENSEN PONCE PHARMD
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
1183500000XPharmacist83421CA

General Provider Information

NPI Number : 1659978997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARLA JORGENSEN PONCE PHARMD
Provider Business Mailing Address
First Line : 10016 SCRIPPS RANCH BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-1222
Country : US
Telephone Number : 858-621-5120
Fax Number :
Provider Business Practice Location Address
First Line : 10016 SCRIPPS RANCH BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-1222
Country : US
Telephone Number : 858-621-5120
Fax Number : 858-621-5124
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2020
Last Update Date : 10/08/2020

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Directions to “ DR. KARLA JORGENSEN PONCE PHARMD” Practice Location

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