Individual
DR. JOHN CHARLES AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8929 UNIVERSITY CENTER LN STE 205, SAN DIEGO, CA 92122-1008
(858) 703-6964
(858) 800-2518
Mailing address
8929 UNIVERSITY CENTER LN STE 205, SAN DIEGO, CA 92122-1008
(858) 703-6964
(858) 800-2518
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C55502
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
C55502
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD2012-0840
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD26733
OR
Other
Enumeration date
07/04/2006
Last updated
01/29/2021
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