Advanced MD Medical Group INC
General Practice in San Diego, California
1780128256- Practice location
- 2878 Camino Del Rio S Ste 404, San Diego, CA 92108-3848
- Phone
- 858-345-4887
- Fax
- —
- Last updated
- December 18, 2016
Advanced MD Medical Group INC is a healthcare organization based in San Diego, CA. Advanced MD Medical Group INC practices in San Diego, CA. The NPI Number for Advanced MD Medical Group INC is 1780128256 and holds a License No. G87969 (CA). The current practice location address for Advanced MD Medical Group INC is 2878 Camino Del Rio S Ste 404, San Diego, CA 92108-3848 and can be reached out via phone at 858-345-4887.
Provider Profile Details
- NPI Number
- 1780128256
- Provider Name
- Advanced MD Medical Group INC
- Provider Entity Type
- Organization
- Address
- 2878 Camino Del Rio S Ste 404, San Diego, CA 92108-3848
- Phone Number
- 858-345-4887
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Dirk Kancilia · Administration · 858-345-4887
- Provider Enumeration Date
- December 18, 2016
- Last Update Date
- December 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2878 Camino Del Rio S Ste 404
San Diego, CA 92108-3848 - City
- San Diego
- State
- California
- Zip
- 92108-3848
- Phone Number
- 858-345-4887
Provider Business Mailing Address Details
- Address
- 235 W Washington Ave
A55
Escondido, CA 92025-2634 - City
- Escondido
- State
- CA
- Zip
- 92025-2634
- Phone Number
- 858-345-4887
License Information
- License Number
- G87969
- License State
- CA
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near San Diego, CA
View all General Practice providers in San Diego →Frequently Asked Questions
What is the NPI number of Advanced MD Medical Group INC?
The NPI number of Advanced MD Medical Group INC is 1780128256. It was assigned on December 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Advanced MD Medical Group INC?
Advanced MD Medical Group INC is registered under the primary taxonomy General Practice (code 208D00000X), licensed in CA under license number G87969.
Where does Advanced MD Medical Group INC practice?
The practice location is 2878 Camino Del Rio S Ste 404, San Diego, CA 92108-3848. The office can be reached at 858-345-4887 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780128256 directly on the NPPES registry website.