Individual
DR. BRUCE MICHAEL POTENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-7200
(619) 543-7202
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G77333
CA
2086S0102X
Surgical Critical Care Physician
Primary
G77333
CA
2086S0127X
Trauma Surgery Physician
G77333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G773330
—
CA
Enumeration date
07/23/2006
Last updated
02/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us