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SAN DIEGO SPINE CENTER AMC NPI 1720280738


NPI Information

NPI: 1720280738
Provider Name: SAN DIEGO SPINE CENTER, AMC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
3760 CONVOY ST
114
SAN DIEGO, CA
ZIP 92111
Phone: (858) 715-8444
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SAN DIEGO SPINE CENTER, AMC is an orthopaedic surgery of the spine orthopaedic surgery in San Diego, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. SAN DIEGO SPINE CENTER, AMC NPI is 1720280738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3760 CONVOY ST
114
SAN DIEGO, CA
ZIP 92111-742
Phone: (858) 715-8444
Fax: (858) 715-8324

The provider's authorized official is Eric Steven Korsh .
The authorized official title is President and has the following contact phone number (858) 715-8444.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 10/16/2020.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineG84012CALIFORNIAYes

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
1FX680AOTHERCALIFORNIAMEDICARE PTAN SAN DIEGO OFFICE
2FX680BOTHERCALIFORNIAMEDICARE PTAN FOR INDIO OFFICE

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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