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Contact Information

SAN DIEGO PSYCHIATRIC MEDICAL GROUP INC
2780 CARDINAL ROAD
SUITE A
SAN DIEGO, CA92123
 Phone: 858-565-1177
 Fax: 858-565-0696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SAN DIEGO PSYCHIATRIC MEDICAL GROUP INC

NPI # 1295804003
LBN Legal business name SAN DIEGO PSYCHIATRIC MEDICAL GROUP INC
Authorized official LAURENCE RIVKIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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