Provider Demographics
NPI:1578052338
Name:GENOVESE, HALEY GLATTHORN (MD)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:GLATTHORN
Last Name:GENOVESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 EXECUTIVE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2155
Mailing Address - Country:US
Mailing Address - Phone:858-614-6161
Mailing Address - Fax:
Practice Address - Street 1:4510 EXECUTIVE DR STE 150
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2155
Practice Address - Country:US
Practice Address - Phone:858-614-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA202763207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology