Provider Demographics
NPI:1932433141
Name:DAVID SINCAVAGE, MD APMC
Entity Type:Organization
Organization Name:DAVID SINCAVAGE, MD APMC
Other - Org Name:ER DOCTOR HOUSE CALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SINCAVAGE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:619-850-4224
Mailing Address - Street 1:43 PORT ROYALE RD
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-3288
Mailing Address - Country:US
Mailing Address - Phone:619-850-4224
Mailing Address - Fax:815-572-9656
Practice Address - Street 1:7920 FROST ST STE 304B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2734
Practice Address - Country:US
Practice Address - Phone:619-850-4224
Practice Address - Fax:815-572-9656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG54537207N00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty