# NORTH COUNTY ORTHOPEDIC MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1215345590
- **Authorized official:** DR. SIDNEY LEVINE M.D. (OWNER)
- **Authorized official phone:** (858) 457-4040

## Contact information

- **Practice address:** 8929 UNIVERSITY CENTER LN, \#100, SAN DIEGO, CA 92122-1006
- **Practice address phone:** (858) 457-4040
- **Practice address fax:** (858) 457-4936
- **Mailing address:** 8929 UNIVERSITY CENTER LN, \#100, SAN DIEGO, CA 92122-1006
- **Mailing address phone:** (858) 457-4040
- **Mailing address fax:** (858) 457-4936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | FNP1842 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2014
- **Last updated:** 07/31/2014