Basic Information
| Provider Information | |||||||||
| NPI: | 1134399082 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TORREY PINES OB-GYN MEDICAL GROUP, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9850 GENESEE AVE | ||||||||
| Address2: | SUITE 600 | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8584530753 | ||||||||
| FaxNumber: | 8585526885 | ||||||||
| Practice Location | |||||||||
| Address1: | 9850 GENESEE AVE | ||||||||
| Address2: | SUITE 600 | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8584530753 | ||||||||
| FaxNumber: | 8585526885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2008 | ||||||||
| LastUpdateDate: | 03/06/2008 | ||||||||
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| AuthorizedOfficialLastName: | SILVER | ||||||||
| AuthorizedOfficialFirstName: | ALLAN | ||||||||
| AuthorizedOfficialMiddleName: | I. | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8584530753 | ||||||||
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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 | 174400000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.