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LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION NPI 1073654604


NPI Information

NPI: 1073654604
Provider Name: LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9834 GENESEE AVE
SUITE #411
LA JOLLA, CA
ZIP 92037
Phone: (858) 677-1755
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LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION 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. LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION NPI is 1073654604. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9834 GENESEE AVE
SUITE #411
LA JOLLA, CA
ZIP 92037-223
Phone: (858) 677-1755
Fax: (858) 677-1771

The provider's authorized official is Frank Jeffrey Coufal .
The authorized official title is Neurosurgeon and has the following contact phone number (858) 677-1755.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/29/2015.


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
1174400000XSpecialistA50766CALIFORNIAYes

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
15918840001MEDICARE NSCCALIFORNIA
25918840001OTHERCALIFORNIAPTAN
3G72471MEDICARE UPINCALIFORNIA
4W16374MEDICARE 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: 4/28/2024

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