ADVANCED MD MEDICAL GROUP INC NPI 1780128256

NPI Information

ADVANCED MD MEDICAL GROUP INC is a general practice in San Diego, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADVANCED MD MEDICAL GROUP INC NPI is 1780128256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2878 CAMINO DEL RIO S STE 404
SAN DIEGO, CA
ZIP 92108-848
Phone: (858) 345-4887

The provider's authorized official is Dirk Kancilia .
The authorized official title is Administration and has the following contact phone number (858) 345-4887.

The enumeration date for this NPI number is 12/18/2016 and was last updated on 12/18/2016.

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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