Healthcare Provider Details

I. General information

NPI: 1699221077
Provider Name (Legal Business Name): RML ORTHOPEDIC GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 08/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3444 KEARNY VILLA RD SUITE 401
SAN DIEGO CA
92123-1959
US

IV. Provider business mailing address

3444 KEARNY VILLA RD SUITE 401
SAN DIEGO CA
92123-1959
US

V. Phone/Fax

Practice location:
  • Phone: 858-616-6400
  • Fax: 858-616-6936
Mailing address:
  • Phone: 858-616-6400
  • Fax: 858-616-6936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG61864
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG80692
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT M MAYWOOD
Title or Position: CEO
Credential: M.D.
Phone: 858-616-6400