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Imad S. Dandan, M.D.

Trauma Surgery Physician in La Jolla, CA · enumerated 2007 · authorized official Imad Dandan, Director, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679752786

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Registry record

Entity type Organization (Type 2)
Legal business name Imad S. Dandan, M.D.
Practice address 9888 Genesee Ave, Lj-601, La Jolla, CA, 92037
Fax (858) 626-6354
Enumeration date Oct 25, 2007
Last updated in NPPES Oct 25, 2007

Taxonomy & classification

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians · License A45893 (CA) Primary

Authorized official

Name Imad Dandan
Title Director, Manager

Other identifiers

Identifier Type State Issuer
00A458930 Medicaid CA -
00A458930 Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Imad S. Dandan, M.D.?
The NPI for Imad S. Dandan, M.D. is 1679752786, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Imad S. Dandan, M.D.?
NPPES lists Imad Dandan (Director, Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-25.