# VENN-WATSON MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1811016934
- **Authorized official:** DR. EDWARD ARTHUR VENN-WATSON M.D. (PRESIDENT)
- **Authorized official phone:** (858) 487-4575

## Contact information

- **Practice address:** 3200 4TH AVE, SUITE 100, SAN DIEGO, CA 92103-5716
- **Practice address phone:** (619) 293-3994
- **Practice address fax:** (619) 295-7389
- **Mailing address:** 18737 LUNADA PT, SAN DIEGO, CA 92128-1116
- **Mailing address phone:** (858) 487-4575
- **Mailing address fax:** (858) 487-4148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G22012 | CA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 11/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2048917 | — | CA |