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NPI Code Detail

MEDICARE: SPECIALTY OBSTETRICS OF SAN DIEGO

MEDICARE: SPECIALTY OBSTETRICS OF SAN DIEGO
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
1207VM0101XMaternal & Fetal Medicine PhysicianG47611CA
2207VM0101XMaternal & Fetal Medicine PhysicianG80714CA

General Provider Information

NPI Number : 1447583570
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALTY OBSTETRICS OF SAN DIEGO
Provider Business Mailing Address
First Line : 3750 CONVOY ST STE 200
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-3770
Country : US
Telephone Number : 858-794-7700
Fax Number : 858-794-7744
Provider Business Practice Location Address
First Line : 3750 CONVOY ST STE 200
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-3770
Country : US
Telephone Number : 858-794-7700
Fax Number : 858-794-7744
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : DR. DEBORAH C MALONE JR.
Credential : RN
Telephone Number : 858-794-7700
Provider Enumeration Date : 09/08/2009
Last Update Date : 10/20/2025

Similar Medicare Providers

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1689990913 — MARK SCHULTZEL MD
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1912213349 — KARI JO VANOCKER PA-C
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1982991501 — KANDICE RENEE BEENKEN D.O.
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1811307069 — DR. THOMAS X. NGUYEN M.D.
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1194121954 — KELLIE JOHNSON MATUSALEM MS, PA-C
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Directions to “SPECIALTY OBSTETRICS OF SAN DIEGO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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