Healthcare Provider Details

I. General information

NPI: 1740501907
Provider Name (Legal Business Name): CHRISTOPHER L SHERMAN DO A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7625 MESA COLLEGE DR STE 310A
SAN DIEGO CA
92111-5343
US

IV. Provider business mailing address

4910 DIRECTORS PL STE 350
SAN DIEGO CA
92121-3834
US

V. Phone/Fax

Practice location:
  • Phone: 858-571-9500
  • Fax:
Mailing address:
  • Phone: 858-346-7171
  • Fax: 858-453-7314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number20A9789
License Number StateCA

VIII. Authorized Official

Name: DR. CHRISTOPHER LOUIS SHERMAN
Title or Position: PRESIDENT
Credential: DO
Phone: 858-736-7723