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Organization
ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO, INC.
Active
Organization
ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COURIS MD (PRESIDENT)
(619) 359-6600
Entity
Organization
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 294-8111
Mailing address
550 WASHINGTON ST STE 841, SAN DIEGO, CA 92103-2232
(619) 359-6600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
07/27/2021
Last updated
07/20/2023
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