IMAD S. DANDAN, M.D.
NPI 1679752786
Surgery - Trauma Surgery in La Jolla, CA

Active since October 25, 2007
9888 GENESEE AVE, LJ-601, LA JOLLA, CA 92037(858) 626-6362(858) 626-6354 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imad S. Dandan, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAD S. DANDAN, M.D. (NPI 1679752786) is a healthcare organization registered as a trauma surgery in La Jolla, California and active in the NPI registry since October 2007. The organization lists Imad S. Dandan, Director, Manager, as its authorized official.

NPPES Registry Identity

NPI1679752786
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameIMAD S. DANDAN, M.D.
Location Address9888 GENESEE AVE, LJ-601La Jolla, CA 92037-1205
Mailing Address9888 Genesee Ave, Lj-601La Jolla, CA 92037-1205 · (858) 626-6362 · Fax (858) 626-6354
Fax(858) 626-6354
Organization SubpartNo
Authorized OfficialImad S. DandanDirector, Manager · (858) 626-6362
Enumeration DateOctober 25, 2007
NPI 1679752786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in CA · A45893
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
9888 GENESEE AVE, La Jolla, CA 92037

Other Identifiers 3

Medicare PINW18942CA
Medicaid00A458930CA
Other00A458930CA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
Clinic/Center (Oncology, Radiation)
9888 GENESEE AVE
LA JOLLA, CA 92037
Pharmacist
9888 GENESEE AVE
LA JOLLA, CA 92037
Emergency Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
Surgery (Trauma Surgery)
9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
Internal Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imad S. Dandan, M.D.'s NPI number?

The NPI number for Imad S. Dandan, M.D. is 1679752786. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Imad S. Dandan, M.D. located?

Imad S. Dandan, M.D. is located at 9888 Genesee Ave Lj-601, La Jolla, CA 92037. The listed phone number is (858) 626-6362.

What is Imad S. Dandan, M.D.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

When was this NPI record last updated?

The NPPES record for Imad S. Dandan, M.D. was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.