Organization Active NPI

Leslie J. Gullahorn, Inc.

  • Orthopaedic Trauma Physician
  • La Jolla, CA
National Provider Identifier
1902070808
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
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

Updated by the provider on Apr 22, 2008

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)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.