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Organization

PRESTIGE ORTHOPAEDICS AND SPORTS MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER EDWARD URBAND M.D. (PRESIDENT)
(858) 705-6130
Entity
Organization

Contact information

Practice address
11939 RANCHO BERNARDO RD STE 115, SAN DIEGO, CA 92128-2073
(858) 705-6130
(858) 400-4080
Mailing address
11939 RANCHO BERNARDO RD STE 115, SAN DIEGO, CA 92128-2073
(858) 705-6130
(858) 400-4080

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician

Other

Enumeration date
02/24/2021
Last updated
05/11/2021
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