| Organization Name: | SAN DIEGO PROFESSIONAL GROUP, P. C. |
| NPI Number: | 1043562630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK A. CALARCO (PRESIDENT, SECRETARY AND TREASURER) |
| Mailing Address: | 41655 Date St Suite 101a Murrieta |
| State: | CA US |
| Postal Code: | 925627040 |
| Phone Number: | 9515010282 |
| Fax Number: | 6154578094 |
| NPI Enumeration Date: | 10/08/2012 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0802X |
| License Number: | A32070BG |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Psychiatry |
| Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |