Healthcare Provider Details

I. General information

NPI: 1316247281
Provider Name (Legal Business Name): SHARP REES-STEALY MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2010
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8008 FROST ST SUITE 106
SAN DIEGO CA
92123
US

IV. Provider business mailing address

PO BOX 939087
SAN DIEGO CA
92193-9087
US

V. Phone/Fax

Practice location:
  • Phone: 619-446-1646
  • Fax: 858-636-2032
Mailing address:
  • Phone: 858-262-6344
  • Fax: 858-636-2032

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 Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN J BIER
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: M.D.
Phone: 858-262-6666