# THOMAS KNUTSON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023193216
- **Authorized official:** THOMAS R KNUTSON MD (OWNER)
- **Authorized official phone:** (760) 743-4789

## Contact information

- **Practice address:** 161 N DATE ST, ESCONDIDO, CA 92025-3405
- **Practice address phone:** (760) 743-4789
- **Practice address fax:** (760) 743-4779
- **Mailing address:** PO BOX 28199, SAN DIEGO, CA 92198-0199
- **Mailing address phone:** (858) 673-2502
- **Mailing address fax:** (858) 207-0030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 03/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0851718 | — | CA |