OrganizationActive
San Diego Professional Group, P. C.
NPI 1699220004 · Addiction Medicine (Psychiatry & Neurology) Physician · Aliso Viejo, CA
Provider details
- NPI number
- 1699220004
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mark Calarco, Facility Ceo
- License
- 20A6119 (CA)
Practice location
24552 Pacific Park Dr
Aliso Viejo, CA 92656-3033
Phone: (615) 727-8416
Fax: (615) 457-8094
Mailing address
200 Powell Pl
Brentwood, TN 37027-7514
Registry dates
- Enumerated
- 2016-08-16
- Last updated
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.