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SYNERGY SPECIALISTS MEDICAL GROUP NPI 1679952337


NPI Information

NPI: 1679952337
Provider Name: SYNERGY SPECIALISTS MEDICAL GROUP

Doing Business As: SYNERGY ORTHOPEDIC SPECIALISTS MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2049453

Address:
9834 GENESEE AVE STE 228
LA JOLLA, CA
ZIP 92037
Phone: (858) 455-9942
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SYNERGY SPECIALISTS MEDICAL GROUP 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. SYNERGY SPECIALISTS MEDICAL GROUP NPI is 1679952337. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Synergy Orthopedic Specialists Medical Group.

The provider's business location address is:

9834 GENESEE AVE STE 228
LA JOLLA, CA
ZIP 92037-215
Phone: (858) 455-9942
Fax: (858) 455-6473

The provider's authorized official is Tal S David .
The authorized official title is President and has the following contact phone number (858) 571-9500.

The CLIA number assigned to this NPI record is 05D2049453 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2015 and was last updated on 10/30/2019.


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
1174400000XSpecialistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.