# ORTHOPEDIC MEDICAL GROUP OF SAN DIEGO, INC.

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

## Provider details

- **NPI number:** 1700982741
- **Authorized official:** DR. RICHARD F. SANTORE M.D. (CEO/CFO)
- **Authorized official phone:** (858) 278-8300

## Contact information

- **Practice address:** 3750 CONVOY ST, SUITE 201, SAN DIEGO, CA 92111-3738
- **Practice address phone:** (858) 278-8300
- **Practice address fax:** (858) 278-1708
- **Mailing address:** 3750 CONVOY ST, SUITE 201, SAN DIEGO, CA 92111-3738
- **Mailing address phone:** (858) 278-8300
- **Mailing address fax:** (858) 278-1708

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 02/04/2014