San Diego Spine & Sport, Inc in Chula Vista - Orthotic Fitter
San Diego Spine & Sport, Inc - NPI 1063405637
San Diego Spine & Sport, Inc is a Orthotic Fitter in Chula Vista, California. San Diego Spine & Sport, Inc practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for San Diego Spine & Sport, Inc is 1063405637. The last update date is 2020-08-22.
San Diego Spine & Sport, Inc's current location address is 450 4th Ave, Chula Vista, California. You can contact this provider via phone number 6195853745 and fax number 6195853746. The mailing address for San Diego Spine & Sport, Inc is 450 4th Ave, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Diego Spine & Sport, Inc |
|---|---|
| Address | 450 4th Ave, Chula Vista, California |
| Phone Number | 6195853745 |
| Fax Number | 6195853746 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mooney Vert |
| Credentials | M.D. |
| Telephone Number | 8587510900 |
NPI Number Detail
| NPI Number | 1063405637 |
|---|---|
| Provider Enumeration Date | 2005-08-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 450 4th Ave |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919104426 |
| Phone Number | 6195853745 |
| Fax Number | 6195853746 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotic Fitter |
|---|---|
| Taxonomy | 225000000X |
|
Definition: An individual trained in the management of fitting prefabricated orthoses. |
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Post Comment/ Review Below
What is the unique identifier code issued to San Diego Spine & Sport, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The San Diego Spine & Sport, Inc has been assigned the NPI (National Provider Identifier) 1063405637. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the San Diego Spine & Sport, Inc located?
The San Diego Spine & Sport, Inc is located at 450 4Th Ave, Chula Vista, CA 919104426.
What is the San Diego Spine & Sport, Inc's specialty and taxonomy code?
The San Diego Spine & Sport, Inc's specialty is Orthotic Fitter, and the corresponding taxonomy code is 225000000X.
On what date was the 1063405637 assigned to San Diego Spine & Sport, Inc?
The San Diego Spine & Sport, Inc was issued its 1063405637 on 2005-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding San Diego Spine & Sport, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to San Diego Spine & Sport, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.