Individual provider · Type 1 NPI

Gavin Kolodge

Pain Medicine (Physical Medicine & Rehabilitation) Physician · San Diego, CA

NPI number 1407210537 Active

Practice location

9095 Rio San Diego Dr Ste 450
San Diego, CA 92108-1726

Mailing address

9095 Rio San Diego Dr Ste 410
San Diego, CA 92108-1679

Other practice locations

  • 955 Lane Ave Ste 200, Chula Vista, CA 91914-4525 · (619) 421-3400

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081P2900X20A18281 (CA)

Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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About NPI 1407210537

Gavin Kolodge's National Provider Identifier is 1407210537, issued on Apr 5, 2016. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in San Diego, CA. The record was last updated on Jan 12, 2026.