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UPPERLINE HEALTHCARE CALIFORNIA PC NPI 1093399412


NPI Information

NPI: 1093399412
Provider Name: UPPERLINE HEALTHCARE CALIFORNIA, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 05D2257955

Address:
5565 GROSSMONT CENTER DR STE 510
LA MESA, CA
ZIP 91942
Phone: (619) 303-7130
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UPPERLINE HEALTHCARE CALIFORNIA, PC is a foot and ankle surgery podiatrist in La Mesa, CA. UPPERLINE HEALTHCARE CALIFORNIA, PC NPI is 1093399412. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5565 GROSSMONT CENTER DR STE 510
LA MESA, CA
ZIP 91942-024
Phone: (619) 303-7130

The provider's authorized official is Michael J King .
The authorized official title is President and has the following contact phone number (508) 679-5700.

The CLIA number assigned to this NPI record is 05D2257955 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/11/2021 and was last updated on 5/11/2021.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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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