Organization
SAN DIEGO CARDIOVASCULAR ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BACKMAN M.D. (OWNER)
(760) 944-7300
Entity
Organization
Contact information
Practice address
320 SANTA FE DR, SUITE 204, ENCINITAS, CA 92024-5138
(760) 944-7300
(760) 633-3949
Mailing address
PO BOX 230757, ENCINITAS, CA 92023-0757
(760) 944-7300
(760) 633-3949
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089260
—
CA
Enumeration date
08/10/2006
Last updated
12/19/2023
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