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SAN DIEGO SURGERY LLC NPI 1720386519


NPI Information

NPI: 1720386519
Provider Name: SAN DIEGO SURGERY LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3434 MIDWAY DR
1008
SAN DIEGO, CA
ZIP 92110
Phone: (310) 273-8885
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SAN DIEGO SURGERY LLC is a specialist in San Diego, 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 SURGERY LLC NPI is 1720386519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3434 MIDWAY DR
1008
SAN DIEGO, CA
ZIP 92110-923
Phone: (310) 273-8885

The provider's authorized official is Ara Salazar .
The authorized official title is Administrator, B&c and has the following contact phone number (310) 273-8885.

The enumeration date for this NPI number is 3/3/2011 and was last updated on 3/3/2011.


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
1174400000XSpecialistA84519CALIFORNIAYes

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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