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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548281496 | NPPES |
| California | MEDICAID | 00G773330 |
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