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IDAHOSURGEONS NET PC NPI 1295237022


NPI Information

NPI: 1295237022
Provider Name: IDAHOSURGEONS NET PC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
7910 FROST ST STE 250
SAN DIEGO, CA
ZIP 92123
Phone: (858) 565-0104
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IDAHOSURGEONS NET PC is a trauma surgery surgery in San Diego, CA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. IDAHOSURGEONS NET PC NPI is 1295237022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7910 FROST ST STE 250
SAN DIEGO, CA
ZIP 92123-752
Phone: (858) 565-0104
Fax: (844) 213-3678

The provider's authorized official is John C. Mayberry .
The authorized official title is President and has the following contact phone number (858) 565-0104.

The enumeration date for this NPI number is 3/7/2018 and was last updated on 3/22/2018.


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
12086S0127XSurgeryTrauma SurgeryG151173CALIFORNIAYes

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: 11/14/2023

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