Organization
SAN DIEGO NEUROSURGERY AND SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TIPTON (OFFICE MANAGER)
(760) 634-5900
Entity
Organization
Contact information
Practice address
450 4TH AVE, SUITE 405, CHULA VISTA, CA 91910-4426
(760) 634-5900
(760) 634-5905
Mailing address
561 SAXONY PLACE, SUITE 102, ENCINITAS, CA 92024
(760) 634-5900
(760) 634-5905
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G68540
CA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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