Simon, Scott David

Simon, Scott David is an individual health care provider with primary practice located at 9834 Genesee Ave Suite 416, La Jolla CA 92037-1223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Simon, Scott David can be contacted via phone (858) 458-0099.

Contact Information

Primary practice address
9834 Genesee Ave Suite 416 La Jolla CA 92037-1223
Phone: (858) 458-0099
Fax: (858) 429-7935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A89550 California

Profile Details

NPI number 1841237955
LBN Legal business name Simon, Scott David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 27th, 2020 - about 4 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 1841237955 NPPES
California Other GI563A MEDICARE GROUP PTAN
California Other CB228657 MEDICARE GROUP PTAN

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