Provider Demographics
NPI:1124283395
Name:UCSD DEPARTMENT OF ORTHOPAEDIC SURGERY
Entity type:Organization
Organization Name:UCSD DEPARTMENT OF ORTHOPAEDIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMIT
Authorized Official - Middle Name:HAMENDRA
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-543-7247
Mailing Address - Street 1:200 W ARBOR DR # MC8894
Mailing Address - Street 2:DEPARTMENT OF ORTHOPAEDICS
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9001
Mailing Address - Country:US
Mailing Address - Phone:619-543-7247
Mailing Address - Fax:619-543-7510
Practice Address - Street 1:200 W ARBOR DR # MC8894
Practice Address - Street 2:DEPARTMENT OF ORTHOPAEDICS
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9001
Practice Address - Country:US
Practice Address - Phone:619-543-7247
Practice Address - Fax:619-543-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-26
Last Update Date:2008-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital