Sdpm Medical Group, Incorporated
NPI #1821640145 in La Jolla, California
Provider Information
- NPI Number
- 1821640145
- Entity Type
- Organization
- Organization Name
- Sdpm Medical Group, Incorporated
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Jul 16, 2019
- Last Updated
- Jan 7, 2020
Practice Location
- Address
- 9850 GENESEE AVE STE 820
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1219
- Phone
- (858) 454-5442
Authorized Official
- Name
- ROBERT LEE WAGNER JR., MD
- Title
- PRESIDENT
- Phone
- (858) 454-5442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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