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DIRECT HEALTH MEDICAL CENTER INC. NPI 1164742649


NPI Information

NPI: 1164742649
Provider Name: DIRECT HEALTH MEDICAL CENTER, INC.

Doing Business As: SAN DIEGO SPINE & REHAB

Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
3772 MISSION AVE
SUITE 122
OCEANSIDE, CA
ZIP 92058
Phone: (760) 630-8400
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DIRECT HEALTH MEDICAL CENTER, INC. is a sports medicine physical medicine rehabilitation in Oceanside, CA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. DIRECT HEALTH MEDICAL CENTER, INC. NPI is 1164742649. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Diego Spine & Rehab.

The provider's business location address is:

3772 MISSION AVE
SUITE 122
OCEANSIDE, CA
ZIP 92058-453
Phone: (760) 630-8400
Fax: (760) 630-8594

The provider's authorized official is Brett K. Allan .
The authorized official title is President and has the following contact phone number (760) 630-8400.

The enumeration date for this NPI number is 6/7/2010 and was last updated on 7/29/2010.


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
12081S0010XPhysical Medicine & RehabilitationSports Medicine2081S0010XCALIFORNIAYes

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
16382920002MEDICARE NSCCALIFORNIA

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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