BALBOA NEPHROLOGY MEDICAL GROUPINC. NPI 1598276404

NPI Information

BALBOA NEPHROLOGY MEDICAL GROUP,INC. is an ambulatory surgical clinic center in San Diego, CA. BALBOA NEPHROLOGY MEDICAL GROUP,INC. NPI is 1598276404. The provider is registered as an organization entity type.
The provider Is Doing Business As San Diego Access And Surgery Center.

The provider's business location address is:

6402 EL CAJON BLVD STE 100
SAN DIEGO, CA
ZIP 92115-645
Phone: (619) 582-4490
Fax: (619) 582-4737

The provider's authorized official is David S Namazy .
The authorized official title is Medical Director & Ao and has the following contact phone number (619) 582-4490.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 12/5/2022.

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:

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