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DISORDERS OF THE FOOT AND ANKLE NPI 1184650921


NPI Information

NPI: 1184650921
Provider Name: DISORDERS OF THE FOOT AND ANKLE
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
331 SEA RIDGE DRIVE
LA JOLLA, CA
ZIP 92037
Phone: (858) 488-4008
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DISORDERS OF THE FOOT AND ANKLE is an orthopaedic surgery in La Jolla, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DISORDERS OF THE FOOT AND ANKLE NPI is 1184650921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

331 SEA RIDGE DRIVE
LA JOLLA, CA
ZIP 92037
Phone: (858) 488-4008
Fax: (877) 297-2958

The provider's authorized official is Sharon Marie Dreeben .
The authorized official title is Ceo and has the following contact phone number (858) 488-4008.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 1/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryG67534CALIFORNIANo
2207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
3207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200045199OTHERCALIFORNIARAILROAD MEDICARE PTAN
200G675340MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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