Provider Demographics
NPI:1356894067
Name:SAN DIEGO HOSPITALIST NETWORK, A.P.C.
Entity type:Organization
Organization Name:SAN DIEGO HOSPITALIST NETWORK, A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAT
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-300-2340
Mailing Address - Street 1:PO BOX 741492
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92174-1492
Mailing Address - Country:US
Mailing Address - Phone:619-300-2340
Mailing Address - Fax:
Practice Address - Street 1:5565 GROSSMONT CENTER DR STE 229
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3026
Practice Address - Country:US
Practice Address - Phone:858-349-3760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty