SearchCalifornia2080N0001X

Samantha Hietalati, MD

NPI 1245617489 · on the registry since 2015

Practice

Address
3010 Childrens Way
San Diego, CA 92123
Phone
(858) 966-5818
Organisation at this address
Sharp And Children'S Mri Center Llc
San Diego Diagnostic Radiology Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Additional practice sites

  • 3750 Convoy St Ste 312, San Diego, CA
  • 200 W Arbor Dr, San Diego, CA

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Also registered as
208000000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California