Organization
PAC NEURO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY GHOSH M.D. (PRESIDENT)
(619) 810-1010
Entity
Organization
Contact information
Practice address
3590 CAMINO DEL RIO NO., SUITE# 200, SAN DIEGO, CA 92108-1716
(619) 810-1010
(619) 810-1011
Mailing address
3590 CAMINO DEL RIO NO., SUITE# 200, SAN DIEGO, CA 92108-1716
(619) 810-1010
(619) 810-1011
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A625630
—
CA
Enumeration date
06/19/2006
Last updated
07/21/2022
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