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KMD MEDICAL GROUP INC. NPI 1417091992


NPI Information

NPI: 1417091992
Provider Name: KMD MEDICAL GROUP, INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
7910 FROST ST
SUITE 250
SAN DIEGO, CA
ZIP 92123
Phone: (858) 637-4800
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KMD MEDICAL GROUP, INC. is a surgery in San Diego, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. KMD MEDICAL GROUP, INC. NPI is 1417091992. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7910 FROST ST
SUITE 250
SAN DIEGO, CA
ZIP 92123-771
Phone: (858) 637-4800
Fax: (858) 637-4801

The provider's authorized official is Daniel Kosoy .
The authorized official title is President and has the following contact phone number (858) 637-4800.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 6/2/2014.


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
1204F00000XTransplant SurgeryA60375CALIFORNIANo
2208600000XSurgeryA60375CALIFORNIAYes

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
1CE226YOTHERCALIFORNIAMEDICARE PTAN (BALBOA NEPHROLOGY MEDICAL GROUP)
2867378MEDICARE UPINCALIFORNIA
3WA60375MEDICARE ID-TYPE UNSPECIFIED

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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