Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAN DIEGO PROFESSIONAL GROUP, P. C.
Active OrganizationSAN DIEGO PROFESSIONAL GROUP, P. C. is a Addiction Psychiatry organization located in ALISO VIEJO, California. NPI 1699220004 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · ALISO VIEJO, CA
Registration Details
- NPI Number
- 1699220004
- Provider Type
- Organization
- NPI Issued
- Aug 16, 2016 (10.029833494835 yrs)
- Last Updated
- Aug 25, 2021
- Licenses
-
20A6119 (CA)20A6119 (CA)20A6119 (CA)
Practice Information
- Address
-
24552 PACIFIC PARK DRALISO VIEJO, CA, 926563033Browse CA providers · Browse ZIP 92656
- Phone
- 6157278416
- Fax
- 6154578094
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
- Additional Specialty
- Addiction Psychiatry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.