# ARISTAMD MEDICAL GROUP PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396534095
- **Authorized official:** JORDAN COLEMAN (CLINICAL OPERATIONS)
- **Authorized official phone:** (858) 751-4777

## Contact information

- **Practice address:** 4660 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92122-4601
- **Practice address phone:** (858) 751-4777
- **Mailing address:** 4660 LA JOLLA VILLAGE DR STE 100, SAN DIEGO, CA 92122-4604
- **Mailing address phone:** (858) 751-4777

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 08/10/2026