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

Advanced MD Medical Group Inc

Organization General Practice Physician · NPI 1780128256

Advanced MD Medical Group Inc provides General Practice Physician services in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2878 Camino Del Rio S Ste 404
San Diego, CA 92108-3848
Phone: (858) 345-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G87969 (CA)

Record details

NPI number1780128256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dirk Kancilia — Administration · (858) 345-4887
NPI enumeratedDecember 18, 2016
Last updated in NPPESDecember 18, 2016
Mailing address235 W Washington Ave, A55, Escondido, CA 92025-2634

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