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SAN DIEGO REGIONAL HEAD & NECK CENTER NPI 1235407685


NPI Information

NPI: 1235407685
Provider Name: SAN DIEGO REGIONAL HEAD & NECK CENTER
Classification: Otolaryngology - 207YX0901X
Entity Type: Organization

Specialization: Otology & Neurotology

Address:
6645 ALVARADO RD
STE 4000
SAN DIEGO, CA
ZIP 92120
Phone: (619) 229-7100
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SAN DIEGO REGIONAL HEAD & NECK CENTER is an otology and neurotology otolaryngology in San Diego, CA. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. SAN DIEGO REGIONAL HEAD & NECK CENTER NPI is 1235407685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6645 ALVARADO RD
STE 4000
SAN DIEGO, CA
ZIP 92120-208
Phone: (619) 229-7100
Fax: (619) 229-4938

The provider's authorized official is Perry Mansfield .
The authorized official title is Owner and has the following contact phone number (619) 229-7100.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.


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
1207YX0901XOtolaryngologyOtology & NeurotologyFNP41747CALIFORNIAYes

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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