San Diego Spine Center, Amc in San Diego - Orthopaedic Surgery Of The Spine

San Diego Spine Center, Amc - NPI 1720280738

San Diego Spine Center, Amc is a Orthopaedic Surgery Of The Spine in San Diego, California. San Diego Spine Center, Amc practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for San Diego Spine Center, Amc is 1720280738. The last update date is 2020-10-16.

San Diego Spine Center, Amc's current location address is 3760 Convoy St, San Diego, California. You can contact this provider via phone number 8587158444 and fax number 8587158324. The mailing address for San Diego Spine Center, Amc is 3760 Convoy St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Diego Spine Center, Amc
Address 3760 Convoy St, San Diego, California
Phone Number 8587158444
Fax Number 8587158324
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Korsh Steven Eric
Credentials M.D.
Telephone Number 8587158444

NPI Number Detail

NPI Number 1720280738
Provider Enumeration Date 2007-06-01
Last Updated Date 2020-10-16

Provider Mailing Address Detail

Address 3760 Convoy St
City San Diego
State California (CA)
Post Code 921113742
Phone Number 8587158444
Fax Number 8587158324

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery Of The Spine
Taxonomy 207Xs0117X
Licence No G84012
Definition:
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 disorde

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
FX680A CA MEDICARE PTAN SAN DIEGO OFFIC
FX680B CA MEDICARE PTAN FOR INDIO OFFICE

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FAQs about San Diego Spine Center, Amc

What is the unique identification code assigned to San Diego Spine Center, Amc by the Centers for Medicare & Medicaid Services?

The San Diego Spine Center, Amc has been issued the NPI (National Provider Identifier) 1720280738. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where San Diego Spine Center, Amc's facilities are geographically located?

The facilities of San Diego Spine Center, Amc are physically situated at the following location: 3760 Convoy St, San Diego, CA, 921113742.

What is San Diego Spine Center, Amc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The San Diego Spine Center, Amc's specialized field of practice is Orthopaedic Surgery Of The Spine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xs0117X.

On what date did the San Diego Spine Center, Amc receive the assignment of its 1720280738 from the Centers for Medicare & Medicaid Services?

The San Diego Spine Center, Amc was issued its 1720280738 by the Centers for Medicare & Medicaid Services on 2007-06-01.

When was the information pertaining to San Diego Spine Center, Amc most recently updated or revised?

The details related to San Diego Spine Center, Amc, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-16.

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