Organization
SAN DIEGO SPINE CENTER, AMC
Active
Organization
SAN DIEGO SPINE CENTER, AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC STEVEN KORSH M.D. (PRESIDENT)
(858) 715-8444
Entity
Organization
Contact information
Practice address
3760 CONVOY ST, 114, SAN DIEGO, CA 92111-3742
(858) 715-8444
(858) 715-8324
Mailing address
3760 CONVOY ST, 114, SAN DIEGO, CA 92111-3742
(858) 715-8444
(858) 715-8324
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G84012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FX680A
MEDICARE PTAN SAN DIEGO OFFICE
CA
01
—
FX680B
MEDICARE PTAN FOR INDIO OFFICE
CA
Enumeration date
06/01/2007
Last updated
10/16/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up