Healthcare Provider Details

I. General information

NPI: 1184800989
Provider Name (Legal Business Name): RICHARD F. SANTORE, M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 08/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7910 FROST ST SUITE 200
SAN DIEGO CA
92123-2771
US

IV. Provider business mailing address

3750 CONVOY ST SUITE 201
SAN DIEGO CA
92111-3738
US

V. Phone/Fax

Practice location:
  • Phone: 858-278-8300
  • Fax: 858-278-1708
Mailing address:
  • Phone: 858-278-8300
  • Fax: 858-278-1708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD FELISE SANTORE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 858-278-8300