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.
Organization
TRAUMA TEAM MEDICAL GROUP INCORPORATED
Active
Organization
TRAUMA TEAM MEDICAL GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL BANSAL M.D. (PRESIDENT)
(619) 298-3100
Entity
Organization
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 294-8111
Mailing address
550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
(619) 298-3100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417907510
—
CA
Enumeration date
05/11/2006
Last updated
02/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up