Brian Rebolledo
Sports Medicine Orthopaedic Surgeon
10710 N Torrey Pines Rd
La Jolla
, California 92037-1035
Brian Rebolledo
Sports Medicine Orthopaedic Surgeon
10710 N Torrey Pines Rd
La Jolla
, California 92037-1035
(858) 554-7980
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Brian Rebolledo
- 10790 Rancho Bernardo Rd
- San Diego, CA
- Zip : 92127-5705
- Phone : (858) 554-7980
Second Address
- Brian Rebolledo
- 10710 N Torrey Pines Rd
- La Jolla, CA
- Zip : 92037-1035
- Phone : (858) 554-7980
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A140481 | CA |
National Provider Identifier
| NPI | 1104119494 |
|---|---|
| Provider Name | Brian Rebolledo |
| First Address | San Diego, CA 92127-5705 |
| Second Address | La Jolla, CA 92037-1035 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2011 |
| Last Update Date | 12/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.