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

Altered States Research Group, Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1396995718

Altered States Research Group, Inc is a Physical Medicine & Rehabilitation Physician in San Diego, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

3511 Camino Del Rio S Ste 404
San Diego, CA 92108-4003
Phone: (619) 481-8416
Fax: (619) 516-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A100046 (CA)

Record details

NPI number1396995718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Knoll — Director · (619) 481-8416
Other names Asrg
NPI enumeratedSeptember 22, 2008
Last updated in NPPESSeptember 22, 2008
Mailing address3511 Camino Del Rio S, Suite 404, San Diego, CA 92108-4003

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