OrganizationActive
Advanced California Medical Center, Inc.
NPI 1962597807 · Obstetrics & Gynecology Physician · San Diego, CA
Provider details
- NPI number
- 1962597807
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced California Medical Center, Inc.
- Authorized official
- Deena Tajran, Owner President
- License
- A55154 (CA)
Practice location
10737 Camino Ruiz
Suite 114
San Diego, CA 92126-2359
Phone: (858) 578-9600
Fax: (858) 578-9065
Mailing address
1934 Via Casa Alta
La Jolla, CA 92037-5730
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2015-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.