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IREN FELLEGVARI is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1568538825. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5890972384. The primary specialty is . The organization is . The address is 5230 CARROLL CANYON RD, , SAN DIEGO, CA, 921211779. The zip code is 921211779.
|Nation Provider ID||1568538825|
|PAC ID by PECOS||5890972384|
|Professional Enrollment ID||I20130801000654|
|Medical School Name||OTHER|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||5230 CARROLL CANYON RD, , SAN DIEGO, CA, 921211779|
|Hospital affiliation LBN|