# SAN DIEGO ORTHOPEDICS

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

## Provider details

- **NPI number:** 1750720785
- **Authorized official:** MR. BENJAMIN H ELGUEZABAL (OWNER)
- **Authorized official phone:** (619) 422-1788

## Contact information

- **Practice address:** 3136 MAIN ST, CHULA VISTA, CA 91911
- **Practice address phone:** (619) 422-1788
- **Practice address fax:** (619) 422-1819
- **Mailing address:** 319 W. 18TH ST., NATIONAL CITY, CA 91950
- **Mailing address phone:** (619) 477-7075
- **Mailing address fax:** (619) 477-7076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 50312 | CA | Yes |

## Other

- **Enumeration date:** 06/24/2013
- **Last updated:** 06/24/2013