Most Relevant Information
Provider Data
| NPI Number: | 1003591108 |
| Provider Name: | SYDNEY BERG HARTLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95025202 |
Most Important Dates
| Enumeration Date: | 06/16/2023 |
| Last Updated: | 06/16/2023 |
Provider Practice Location
2929 HEALTH CENTER DR
SAN DIEGO
CA
921232762
Practice Location Phone/Fax
| Phone: | 8584992600 |
| Fax: |
Provider Mailing Location
2929 HEALTH CENTER DR
SAN DIEGO
CA
921232762
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |