Organization
JOINT REPLACEMENT CIN OF SAN DIEGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HANNON (BILLING SPECIALIST)
(615) 386-0064
Entity
Organization
Contact information
Practice address
4275 EXECUTIVE SQ STE 200B, LA JOLLA, CA 92037-1476
(615) 386-0064
(615) 386-0067
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 386-0064
(615) 386-0067
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
CA
Other
Enumeration date
01/13/2018
Last updated
01/12/2022
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