San Diego Spine & Sport, Inc in Chula Vista - Electrophysiology, Clinical
San Diego Spine & Sport, Inc - NPI 1063405637
San Diego Spine & Sport, Inc is a Electrophysiology, Clinical in Chula Vista, California. San Diego Spine & Sport, Inc practices all healthcare services and medical treatments related to Electrophysiology, Clinical. 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 |
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Address | 450 4th Ave, Chula Vista, California |
Phone Number | 6195853745 |
Fax Number | 6195853746 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Mooney Vert |
Credentials | M.D. |
Telephone Number | 8587510900 |
NPI Number Detail
NPI Number | 1063405637 |
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Provider Enumeration Date | 2005-08-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 450 4th Ave |
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City | Chula Vista |
State | California (CA) |
Post Code | 919104426 |
Phone Number | 6195853745 |
Fax Number | 6195853746 |
Provider's Primary Taxonomy Detail
Speciality | Electrophysiology, Clinical |
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Taxonomy | 2251E1300X |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and |
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 Electrophysiology, Clinical, and the corresponding taxonomy code is 2251E1300X.
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.