Healthcare Provider Details

I. General information

NPI: 1972505857
Provider Name (Legal Business Name): EMERGENCY CARE DYNAMICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 MIDWAY DR STE 1002
SAN DIEGO CA
92110-4923
US

IV. Provider business mailing address

3434 MIDWAY DR STE 1002
SAN DIEGO CA
92110-4924
US

V. Phone/Fax

Practice location:
  • Phone: 619-225-6200
  • Fax: 619-225-6208
Mailing address:
  • Phone: 619-225-6200
  • Fax: 619-225-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK J TAMSEN
Title or Position: PRESIDENT
Credential: MD
Phone: 619-225-6200