Organization · Type 2 NPI

Ophelia Medical Group Ca PC

Addiction Medicine (Psychiatry & Neurology) Physician · San Diego, CA

NPI number 1760153381 Active

Practice location

6920 Miramar Road, Suite 329
San Diego, CA 92121-2642

Fax (267) 780-7032

Mailing address

228 Park Ave S Ste 15314
New York, NY 10003-1502

Other practice locations

  • 228 Park Ave S Ste 15314, New York, NY 10003-1502 · (215) 585-2144

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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About NPI 1760153381

Ophelia Medical Group Ca PC's National Provider Identifier is 1760153381, issued on Sep 23, 2021. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in San Diego, CA. The record was last updated on Sep 10, 2025.