Excel Spine Center A California Medical Corporation
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in San Diego, CA. Organization (NPI-2).
NPI number1962018044
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1962018044
- Entity type
- Organization (NPI-2)
- Legal business name
- Excel Spine Center A California Medical Corporation
- Organization subpart
- No
- Enumeration date
- Sep 23, 2020
- Certification date
- Dec 12, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | – | Yes |
Practice location
6719 Alvarado Rd Ste 304San Diego, CA 92120-5265
Phone 619-344-6918
Mailing address
6719 Alvarado Rd Ste 304San Diego, CA 92120-5265
Phone 619-344-6918
Authorized official
Choll Wan Kim
Owner
6193446918
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