Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced MD Medical Group Inc

Organization General Practice Physician · NPI 1780128256

Advanced MD Medical Group Inc is a General Practice Physician in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2878 Camino Del Rio S Ste 404
San Diego, CA 92108-3848
Phone: (858) 345-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G87969 (CA)

Record details

NPI number1780128256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dirk Kancilia — Administration · (858) 345-4887
NPI enumeratedDecember 18, 2016
Last updated in NPPESDecember 18, 2016
Mailing address235 W Washington Ave, A55, Escondido, CA 92025-2634

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