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NPI Code Detail

MEDICARE: SYNERGY ORTHOPEDIC SPECIALISTS, INC.

MEDICARE: SYNERGY ORTHOPEDIC SPECIALISTS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1114282779
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY ORTHOPEDIC SPECIALISTS, INC.
Provider Business Mailing Address
First Line : 9095 RIO SAN DIEGO DR STE 410
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1679
Country : US
Telephone Number : 858-412-6080
Fax Number : 858-412-6376
Provider Business Practice Location Address
First Line : 9095 RIO SAN DIEGO DR STE 450
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1726
Country : US
Telephone Number : 858-412-6080
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : MEGHAN THOMAS
Credential :
Telephone Number : 858-412-6080
Provider Enumeration Date : 07/10/2012
Last Update Date : 10/02/2025

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Directions to “SYNERGY ORTHOPEDIC SPECIALISTS, INC. ” Practice Location

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