Organization · Type 2 NPI

SDPM Medical Group, Incorporated

Pain Medicine (Anesthesiology) Physician · La Jolla, CA

NPI number 1821640145 Active

Practice location

9850 Genesee Ave Ste 820
La Jolla, CA 92037-1219

Call (858) 454-5442 Map

Fax (858) 431-4633

Mailing address

PO Box 221048
San Diego, CA 92192-1048

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician Primary	207LP2900X	None listed

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

8 other providers at this address

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NPI record

NPI: 1821640145
Entity type: Organization (Type 2)
Issued: Jul 16, 2019
Last updated: Jan 7, 2020
Status: Active

Other names

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San Diego Pain Management · doing business as
San Diego Pain Management · doing business as

Authorized official

Robert Lee Wagner, MD
President
(858) 454-5442

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821640145

SDPM Medical Group, Incorporated's National Provider Identifier is 1821640145, issued on Jul 16, 2019. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in La Jolla, CA. The record was last updated on Jan 7, 2020.