NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1720219389 |   |   |   | PEDIATRIC ORTHOPEDIC AND SCOLIOSIS CENTER OF SAN DIEGO, INC. | 3030 CHILDRENS WAY | SAN DIEGO | CA | 921234232 |
1619151685 | PENNOCK | ANDREW | TENNANT |   | 3860 CALLE FORTUNADA | SAN DIEGO | CT | 921234802 |
1023223252 | SCOTT | MARYLOU |   |   | 3860 CALLE FORTUNADA | SAN DIEGO | CA | 921234802 |
1548417652 | UPASANI | VIDYADHAR | V |   | 3020 CHILDRENS WAY | SAN DIEGO | CA | 921234223 |
1144229600 | WALLACE | CHARLES | DOUGLAS |   | 3860 CALLE FORTUNADA | SAN DIEGO | CA | 921234802 |