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

Imad S. Dandan, MD

Organization Trauma Surgery Physician · NPI 1679752786

Imad S. Dandan, MD is a Trauma Surgery Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

9888 Genesee Ave LJ-601
LA Jolla, CA 92037-1205
Phone: (858) 626-6362
Fax: (858) 626-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence A45893 (CA)

Record details

NPI number1679752786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Imad Dandan — Director, Manager · (858) 626-6362
NPI enumeratedOctober 25, 2007
Last updated in NPPESOctober 25, 2007
Mailing address9888 Genesee Ave, Lj-601, La Jolla, CA 92037-1205

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