Organization Active NPI

Lawrence S Pohl MD a Professional Corporation

  • Primary Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1407029366
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G43808 Issued in CA
Legal business name
LAWRENCE S POHL MD A PROFESSIONAL CORPORATION
Practice address
5333 Mission Center Rd
Suite 100
San Diego, CA 92108-1302
Phone
(619) 295-3355
Fax
(619) 542-1317
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence Stuart Pohl, M.D.
Title
Medical Director
Phone
(619) 295-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G43808 CA Primary

Addresses

Primary practice location

5333 Mission Center Rd
Suite 100
San Diego, CA 92108-1302

Mailing address

5333 Mission Center Rd
Suite 100
San Diego, CA 92108-1302
Phone (619) 295-3355

Other names 1

  • Mission Valley Medical Clinc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1407029366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-295-3355",
            "fax_number": "619-542-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-295-3355",
            "fax_number": "619-542-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S POHL MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "POHL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-295-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G43808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Valley Medical Clinc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.