Organization
VENN-WATSON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ARTHUR VENN-WATSON M.D. (PRESIDENT)
(858) 487-4575
Entity
Organization
Contact information
Practice address
3200 4TH AVE, SUITE 100, SAN DIEGO, CA 92103-5716
(619) 293-3994
(619) 295-7389
Mailing address
18737 LUNADA PT, SAN DIEGO, CA 92128-1116
(858) 487-4575
(858) 487-4148
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G22012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048917
—
CA
Enumeration date
03/28/2007
Last updated
11/19/2009
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