# SHARP REES-STEALY MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHARP REES-STEALY MEDICAL GROUP, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568762540
- **Legal business name:** SHARP REES-STEALY MEDICAL GROUP, INC
- **Authorized official:** STEVEN A. GREEN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (858) 262-6666

## Contact information

- **Practice address:** 8881 FLETCHER PKWY, SUITE 105, LA MESA, CA 91942
- **Practice address phone:** (619) 446-1646
- **Practice address fax:** (858) 636-2032
- **Mailing address:** PO BOX 939087, SAN DIEGO, CA 92193-9087
- **Mailing address phone:** (858) 262-6344
- **Mailing address fax:** (858) 636-2032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 07/24/2018