# DORSAL MEDICAL GROUP OF CALIFORNIA, P.C.

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

## Provider details

- **NPI number:** 1962022186
- **Authorized official:** ANDREW JIN (MANAGER)
- **Authorized official phone:** (833) 988-0589

## Contact information

- **Practice address:** 600 3RD AVE FL 2, NEW YORK, NY 10016-1919
- **Practice address phone:** (833) 988-0589
- **Mailing address:** 315 MONTGOMERY ST FL 10, SAN FRANCISCO, CA 94104-1823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 04/17/2020
- **Last updated:** 08/03/2020