# DAVID L FLOOD MD INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Diego Center for Sports Medicine & Orthopedic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861533382
- **Authorized official:** DAVID L. FLOOD M.D. (PRESIDENT)
- **Authorized official phone:** (619) 818-7100

## Contact information

- **Practice address:** 7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
- **Practice address phone:** (619) 819-7100
- **Practice address fax:** (619) 819-7101
- **Mailing address:** 7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
- **Mailing address phone:** (619) 819-7100
- **Mailing address fax:** (619) 819-7101

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 03/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0053000 | — | CA |
| 01 | — | ZZZ32881Z | BLUE SHIELD | CA |