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

Trauma Team Medical Group Incorporated

Organization Emergency Medicine Physician · NPI 1417907510

Trauma Team Medical Group Incorporated is an Emergency Medicine Physician in San Diego, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4077 Fifth Ave
San Diego, CA 92103-2105
Phone: (619) 294-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1417907510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vishal Bansal — President · (619) 298-3100
NPI enumeratedMay 11, 2006
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address550 Washington St Ste 641, San Diego, CA 92103-2229

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