Active NPI
Leslie J. Gullahorn, Inc.
- Orthopaedic Trauma Physician
- La Jolla, CA
National Provider Identifier
1902070808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- Legal business name
- LESLIE J. GULLAHORN, INC.
- Practice address
- 9900 Genesee Ave
Suite E
La Jolla, CA 92037-1210 - Phone
- (858) 678-0455
- Fax
- (858) 678-0391
- NPI assigned
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie J. Gullahorn, M.D.
- Title
- Doctor
- Phone
- (619) 977-2717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | Primary |
Addresses
Primary practice location
9900 Genesee Ave
Suite E
La Jolla, CA 92037-1210
Mailing address
2142 Bulrush LN
Cardiff by the Sea, CA 92007-1408
Phone (619) 977-2717
National Provider Directory
National Provider DirectoryLocations
9900 Genesee Ave
Ste E
La Jolla, CA 92037
Phone (858) 558-1153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1902070808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 BULRUSH LN",
"city": "CARDIFF BY THE SEA",
"state": "CA",
"postal_code": "920071408",
"telephone_number": "619-977-2717",
"fax_number": "760-274-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 GENESEE AVE",
"address_2": "SUITE E",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371210",
"telephone_number": "858-678-0455",
"fax_number": "858-678-0391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE J. GULLAHORN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "GULLAHORN",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "619-977-2717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.