Organization
SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT IRA GELB MD (BOARD MEMBER)
(760) 943-6700
Entity
Organization
Contact information
Practice address
332 SANTA FE DRIVE, SUITE 110, ENCINITAS, CA 92024
(760) 943-6700
(760) 632-4292
Mailing address
332 SANTA FE DRIVE, SUITE 110, ENCINITAS, CA 92024
(760) 943-6700
(760) 632-4292
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093170
—
CA
01
—
ZZZ04918Z
BLUE SHIELD
CA
Enumeration date
09/29/2006
Last updated
03/17/2018
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