OrganizationActive
Imad S. Dandan, M.D.
NPI 1679752786 · Trauma Surgery Physician · La Jolla, CA
Provider details
- NPI number
- 1679752786
- Entity type
- Organization
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Imad Dandan, Director, Manager(858) 626-6362
- License
- A45893 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9888 Genesee Ave
Lj-601
La Jolla, CA 92037-1205
Phone: (858) 626-6362
Fax: (858) 626-6354
Approximate (ZIP-level) locationGet directions
Mailing address
9888 Genesee Ave
La Jolla, CA 92037-1205
Registry dates
- Enumerated
- 2007-10-25
- Last updated
- 2007-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.