Most Relevant Information
Provider Data
| NPI Number: | 1003800368 |
| Provider Name: | JEAN A. RIZKALLAH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | A93296 |
Most Important Dates
| Enumeration Date: | 09/01/2005 |
| Last Updated: | 03/30/2012 |
Provider Practice Location
450 FOURTH AVENUE
STE. 408
CHULA VISTA
CA
919104430
Practice Location Phone/Fax
| Phone: | 6196911990 |
| Fax: | 6196915977 |
Provider Mailing Location
450 FOURTH AVENUE
STE. 408
CHULA VISTA
CA
919104430
Provider Mailing Phone/Fax
| Phone: | 6196911990 |
| Fax: | 6196915977 |
Suggested EMR
Family Practice EMR