Individual
DR. D SCOTT UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8765 AERO DR, SUITE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
(858) 430-0919
Mailing address
8765 AERO DRIVE, SUITE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
(858) 430-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A84415
CA
207RS0010X
Sports Medicine (Internal Medicine) Physician
A84415
CA
208000000X
Pediatrics Physician
A84415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A844150
—
CA
01
—
DR000Z
MEDICARE
CA
Enumeration date
06/02/2006
Last updated
11/20/2020
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