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

Bonebuilders Medical Clinic

Organization Orthopaedic Surgery Physician · NPI 1356401566

Bonebuilders Medical Clinic is an Orthopaedic Surgery Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

4150 Regents Park Row Ste 321
LA Jolla, CA 92037-9124
Phone: (858) 678-0455
Fax: (858) 678-0391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence G60659 (CA)

Record details

NPI number1356401566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Rudolph — President · (858) 678-0455
NPI enumeratedDecember 11, 2006
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022
Mailing address4510 Executive Drive, Suite 125, San Diego, CA 92121

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