Healthcare Provider Details

I. General information

NPI: 1295630432
Provider Name (Legal Business Name): ACUTE NEUROENDOVASCULAR AND NEUROSURGICAL CARE APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11199 SORRENTO VALLEY RD STE 203
SAN DIEGO CA
92121-1334
US

IV. Provider business mailing address

11199 SORRENTO VALLEY RD STE 203
SAN DIEGO CA
92121-1334
US

V. Phone/Fax

Practice location:
  • Phone: 858-720-0900
  • Fax: 619-566-0620
Mailing address:
  • Phone: 858-720-0900
  • Fax: 619-566-0620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRUNO C FLORES
Title or Position: OWNER
Credential: MD
Phone: 214-620-8195