Gavin Kolodge
Pain Medicine
9339 Genesee Ave Ste 150
San Diego
, California 92121-2144
Gavin Kolodge
Pain Medicine
9339 Genesee Ave Ste 150
San Diego
, California 92121-2144
(858) 412-6376
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Gavin Kolodge
- 4445 Eastgate Mall Ste 105
- San Diego, CA
- Zip : 92121-1979
- Fax : (858) 412-6376
- Phone : (858) 357-9450
Second Address
- Gavin Kolodge
- 9339 Genesee Ave Ste 150
- San Diego, CA
- Zip : 92121-2144
- Phone : (858) 357-9477
Reviews
FAQs
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What type of doctor is Gavin Kolodge
In what state does Gavin Kolodge practice in?
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What is Gavin Kolodge ’s gender?
Is Gavin Kolodge a sole practitioner?
Is Gavin Kolodge accepting new patients?
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Does Gavin Kolodge accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 20A18281 | CA |
National Provider Identifier
| NPI | 1407210537 |
|---|---|
| Provider Name | Gavin Kolodge |
| First Address | San Diego, CA 92121-1979 |
| Second Address | San Diego, CA 92121-2144 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2016 |
| Last Update Date | 21/09/2021 |
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.