Healthcare Provider Details

I. General information

NPI: 1922868520
Provider Name (Legal Business Name): DAVID M DROMSKY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4060 4TH AVE STE 630
SAN DIEGO CA
92103-2118
US

IV. Provider business mailing address

4060 4TH AVE STE 630
SAN DIEGO CA
92103-2118
US

V. Phone/Fax

Practice location:
  • Phone: 619-299-3950
  • Fax: 619-299-3951
Mailing address:
  • Phone: 619-299-3950
  • Fax: 619-299-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA WORSLEY
Title or Position: BILLIER COORDINATOR
Credential:
Phone: 619-790-6331