La Jolla Orthopedics & Pain Management Center, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LA JOLLA ORTHOPEDICS & PAIN MANAGEMENT CENTER, INC.

Practice address

3703 Camino del Rio S
Suite 200
San Diego, CA 92108-4033

Phone

(858) 571-3630

Fax

(858) 541-4440

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

John Qian, MD

Title

President

Phone

(858) 571-3630

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1477096170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 CHURCH AVE",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084033",
            "telephone_number": "858-571-3630",
            "fax_number": "858-541-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA ORTHOPEDICS & PAIN MANAGEMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "QIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-571-3630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Jolla Cardiovascular Medical Assoc Inc
• La Jolla Dental Specialty Group
• La Jolla Facial Plastic Surgery Inc
• La Jolla Hospice, Inc.
• La Jolla Orthopaedic Surgery
• La Jolla Professional Plastic Surgery
• La Jolla Psychiatric Associates
• La Jolla Radiology Medical Group - Diagnosis, Inc.
• La Jolla Recovery Inc
• La Jolla Recovery Inc

• Physical Medicine & Rehabilitation Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.