NPI Code Detail JSON Logo

1629933635 NPI number — SEEN MEDICAL GROUP OF SAN DIEGO, PC

NPI Number: 1629933635
Health Care Provider/Practitioner: SEEN MEDICAL GROUP OF SAN DIEGO, PC

Information about “1629933635” NPI (SEEN MEDICAL GROUP OF SAN DIEGO, PC) exists in 1629933635 in HTML format HTML  |  1629933635 in plain Text format TXT  |  1629933635 in PDF (Portable Document Format) PDF  |  1629933635 in an XML format XML  formats.

NPI Number : 1629933635 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629933635",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SEEN MEDICAL GROUP OF SAN DIEGO, PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15 OAK ST STE 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEEDHAM",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02492-2470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "339-793-8998",
    "MailingAddressFaxNumber": "339-686-3137",
    "FirstLinePracticeLocationAddress": "8950 VILLA LA JOLLA DR STE C227",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA JOLLA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92037-1712",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-671-5902",
    "PracticeLocationAddressFaxNumber": "339-686-3137",
    "EnumerationDate": "12/22/2025",
    "LastUpdateDate": "12/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REIERSON",
    "AuthorizedOfficialFirstName": "BRITTA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PC OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "315-216-2910",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207QS0010X",
        "TaxonomyName": "Sports Medicine (Family Medicine) Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.