Scott David Simon MD Facs Medical Corporation
Urology in La Jolla, CA. Organization (NPI-2).
NPI number1942810726
StatusActive
Last updated in NPPESAug 5, 2020
Details
- NPI
- 1942810726
- Entity type
- Organization (NPI-2)
- Legal business name
- Scott David Simon MD Facs Medical Corporation
- Organization subpart
- No
- Enumeration date
- Aug 5, 2020
- Certification date
- Aug 5, 2020
- Last updated
- Aug 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
9834 Genesee Ave Ste 416La Jolla, CA 92037-1264
Phone 858-307-6585 · Fax 858-309-6593
Mailing address
9834 Genesee Ave Ste 416La Jolla, CA 92037-1264
Phone 858-307-6585 · Fax 858-309-6593
Authorized official
Scott D Simon
President
8583076585
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