OrganizationActive
Idahosurgeons Net PC
NPI 1295237022 · Trauma Surgery Physician · San Diego, CA
Provider details
- NPI number
- 1295237022
- Entity type
- Organization
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Mayberry, President(858) 565-0104
- License
- G151173 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7910 Frost St Ste 250
San Diego, CA 92123-2752
Phone: (858) 565-0104
Fax: (844) 213-3678
Approximate (ZIP-level) locationGet directions
Mailing address
7910 Frost St Ste 250
San Diego, CA 92123-2752
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2018-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.