Basic Information
| Provider Information | |||||||||
| NPI: | 1124283395 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UCSD DEPARTMENT OF ORTHOPAEDIC SURGERY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 W ARBOR DR # MC8894 | ||||||||
| Address2: | DEPARTMENT OF ORTHOPAEDICS | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921039001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195437247 | ||||||||
| FaxNumber: | 6195437510 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 W ARBOR DR # MC8894 | ||||||||
| Address2: | DEPARTMENT OF ORTHOPAEDICS | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921039001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195437247 | ||||||||
| FaxNumber: | 6195437510 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2008 | ||||||||
| LastUpdateDate: | 07/26/2008 | ||||||||
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| AuthorizedOfficialLastName: | RANA | ||||||||
| AuthorizedOfficialFirstName: | SUMIT | ||||||||
| AuthorizedOfficialMiddleName: | HAMENDRA | ||||||||
| AuthorizedOfficialTitleorPosition: | RESIDENT PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6195437247 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.