Basic Information
| Provider Information | |||||||||
| NPI: | 1447365390 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LANDSBERG | ||||||||
| FirstName: | JUDD | ||||||||
| MiddleName: | WARREN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | VA SAN DIEGO HEALTHCARE SYSTEM | ||||||||
| Address2: | 3350 LA JOLLA VILLAGE DR, 111J | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921610001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585528585 | ||||||||
| FaxNumber: | 8585461754 | ||||||||
| Practice Location | |||||||||
| Address1: | VA SAN DIEGO HEALTHCARE SYSTEM | ||||||||
| Address2: | 3350 LA JOLLA VILLAGE DR, 111J | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921610001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585528585 | ||||||||
| FaxNumber: | 8585461754 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A76129 | CA | X | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | A76129 | CA | X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | A76129 | CA | X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.