# ADVANCED CALIFORNIA MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED CALIFORNIA MEDICAL CENTER, INC.
- **Other names:** Advanced California Medical Center, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962597807
- **Legal business name:** ADVANCED CALIFORNIA MEDICAL CENTER, INC.
- **Authorized official:** MRS. DEENA S TAJRAN MD FACOG (OWNER PRESIDENT)
- **Authorized official phone:** (858) 578-9600

## Contact information

- **Practice address:** 10737 CAMINO RUIZ, SUITE 114, SAN DIEGO, CA 92126-2359
- **Practice address phone:** (858) 578-9600
- **Practice address fax:** (858) 578-9065
- **Mailing address:** 1934 VIA CASA ALTA, LA JOLLA, CA 92037-5730
- **Mailing address phone:** (858) 578-9600
- **Mailing address fax:** (858) 578-9065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A55154 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | A55154 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 07/20/2015