Potenza, Bruce Michael

Potenza, Bruce Michael is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Potenza, Bruce Michael can be contacted via phone (619) 543-7200.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9001
Phone: (619) 543-7200
Fax: (619) 543-7202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G77333 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G77333 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X G77333 California

Profile Details

NPI number 1548281496
LBN Legal business name Potenza, Bruce Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Feb 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548281496 NPPES
California MEDICAID 00G773330

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