HUNTINGTON BEACH SURGERY NPI 1316012339

NPI Information

NPI: 1316012339
Provider Name: HUNTINGTON BEACH SURGERY
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
12828 BAYWIND PT
SAN DIEGO, CA
ZIP 92130
Phone: (714) 376-9236
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HUNTINGTON BEACH SURGERY is a vascular surgery surgery in San Diego, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. HUNTINGTON BEACH SURGERY NPI is 1316012339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12828 BAYWIND PT
SAN DIEGO, CA
ZIP 92130-796
Phone: (714) 376-9236

The provider's authorized official is Donel Elshire .
The authorized official title is Ceo and has the following contact phone number (714) 376-9236.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	A40737	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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