Healthcare Provider Details

I. General information

NPI: 1831124791
Provider Name (Legal Business Name): XIMED HOSPITALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE SUITE 900
LA JOLLA CA
92037-1224
US

IV. Provider business mailing address

9850 GENESEE AVE SUITE 900
LA JOLLA CA
92037-1224
US

V. Phone/Fax

Practice location:
  • Phone: 858-452-1279
  • Fax: 858-587-1642
Mailing address:
  • Phone: 858-452-1279
  • Fax: 858-587-1642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS C SOUNHEIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 858-452-1279