Provider Demographics
NPI:1477111805
Name:PHILIP D SZOLD, MD, INC
Entity Type:Organization
Organization Name:PHILIP D SZOLD, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-464-6434
Mailing Address - Street 1:8881 FLETCHER PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3135
Mailing Address - Country:US
Mailing Address - Phone:619-464-6434
Mailing Address - Fax:619-464-5109
Practice Address - Street 1:8881 FLETCHER PKWY STE 205
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3187
Practice Address - Country:US
Practice Address - Phone:619-464-6434
Practice Address - Fax:619-464-5109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHILIP D SZOLD, MD, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-31
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty