Active NPIOrganization

Advanced California Medical Center, INC.

Obstetrics & Gynecology in San Diego, California

NPI Number1962597807
Practice location
10737 Camino Ruiz, Suite 114, San Diego, CA 92126-2359
Fax
858-578-9065
Last updated
July 20, 2015

Advanced California Medical Center, INC. is a healthcare organization based in San Diego, CA. Advanced California Medical Center, INC. practices in San Diego, CA. The NPI Number for Advanced California Medical Center, INC. is 1962597807 and holds a License No. A55154 (CA). The current practice location address for Advanced California Medical Center, INC. is 10737 Camino Ruiz, Suite 114, San Diego, CA 92126-2359 and can be reached out via phone at 858-578-9600 and via fax at 858-578-9065.

Provider Profile Details

NPI Number
1962597807
Provider Name
Advanced California Medical Center, INC.
Provider Entity Type
Organization
Address
10737 Camino Ruiz, Suite 114, San Diego, CA 92126-2359
Phone Number
858-578-9600
Fax Number
858-578-9065
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Organization Subpart
Yes
Parent Organization
Advanced California Medical Center, INC.
Authorized Official
Mrs. Deena S Tajran, MD FACOG · Owner President · 858-578-9600
Other Names
Advanced California Medical Center, INC. (Doing Business As)
Provider Enumeration Date
October 4, 2006
Last Update Date
July 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10737 Camino Ruiz
Suite 114
San Diego, CA 92126-2359
Zip
92126-2359
Phone Number
858-578-9600
Fax Number
858-578-9065
San Diego, CA 92126Get directions →

Provider Business Mailing Address Details

Address
1934 Via Casa Alta
La Jolla, CA 92037-5730
City
La Jolla
State
CA
Zip
92037-5730
Phone Number
858-578-9600
Fax Number
858-578-9065

License Information

License Number (1)
A55154
License State (1)
CA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
A55154
License State (2)
CA
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced California Medical Center, INC.?

The NPI number of Advanced California Medical Center, INC. is 1962597807. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Advanced California Medical Center, INC.?

Advanced California Medical Center, INC. is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in CA under license number A55154.

Where does Advanced California Medical Center, INC. practice?

The practice location is 10737 Camino Ruiz, Suite 114, San Diego, CA 92126-2359. The office can be reached at 858-578-9600 (phone) or 858-578-9065 (fax).

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 1962597807 directly on the NPPES registry website.

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