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SOUTH BAY COMPREHENSIVE PRIMARY CARE A MEDICAL CORP NPI 1558598516


NPI Information

NPI: 1558598516
Provider Name: SOUTH BAY COMPREHENSIVE PRIMARY CARE A MEDICAL CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
655 SATURN BLVD
SUITE #J
SAN DIEGO, CA
ZIP 92154
Phone: (619) 575-4442
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SOUTH BAY COMPREHENSIVE PRIMARY CARE A MEDICAL CORP is a family medicine in San Diego, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH BAY COMPREHENSIVE PRIMARY CARE A MEDICAL CORP NPI is 1558598516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

655 SATURN BLVD
SUITE #J
SAN DIEGO, CA
ZIP 92154-734
Phone: (619) 575-4442
Fax: (619) 575-1297

The provider's authorized official is Sunnyline P Vendiola .
The authorized official title is President and has the following contact phone number (619) 575-4442.

The enumeration date for this NPI number is 6/17/2009 and was last updated on 6/17/2009.


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
1207Q00000XFamily MedicineA55888CALIFORNIAYes

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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