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SAN DIEGO CENTER FOR SPINAL DISORDERS MEDICAL GROUP INC. NPI 1568689354


NPI Information

NPI: 1568689354
Provider Name: SAN DIEGO CENTER FOR SPINAL DISORDERS MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4130 LA JOLLA VILLAGE DR STE 300
LA JOLLA, CA
ZIP 92037
Phone: (858) 678-0610
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SAN DIEGO CENTER FOR SPINAL DISORDERS MEDICAL GROUP, INC. is a specialist in La Jolla, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN DIEGO CENTER FOR SPINAL DISORDERS MEDICAL GROUP, INC. NPI is 1568689354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4130 LA JOLLA VILLAGE DR STE 300
LA JOLLA, CA
ZIP 92037-481
Phone: (858) 678-0610
Fax: (858) 678-0007

The provider's authorized official is Behrooz A Akbarnia .
The authorized official title is President and has the following contact phone number (858) 678-0610.

The enumeration date for this NPI number is 4/20/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistC39663CALIFORNIAYes

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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