Healthcare Provider Details

I. General information

NPI: 1699686873
Provider Name (Legal Business Name): KATARZYNA WEGRZYN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4305 UNIVERSITY AVE STE 525
SAN DIEGO CA
92105-1696
US

IV. Provider business mailing address

7770 REGENTS RD STE 113
SAN DIEGO CA
92122-1967
US

V. Phone/Fax

Practice location:
  • Phone: 858-224-2499
  • Fax: 858-365-5776
Mailing address:
  • Phone: 858-224-2499
  • Fax: 858-365-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KATARZYNA WEGRZYN
Title or Position: OWNER
Credential: MD
Phone: 858-224-2499