Provider Demographics
NPI:1811703044
Name:SAN DIEGO INFUSION CENTER INC
Entity type:Organization
Organization Name:SAN DIEGO INFUSION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:858-457-8600
Mailing Address - Street 1:9834 GENESEE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1221
Mailing Address - Country:US
Mailing Address - Phone:858-457-8600
Mailing Address - Fax:858-764-9765
Practice Address - Street 1:9834 GENESEE AVE STE 310
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1221
Practice Address - Country:US
Practice Address - Phone:858-457-8600
Practice Address - Fax:858-764-9765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy