Gavin Kolodge is a San Diego, California based physiatrist with 9 years of experience in Pain Management (PM&R). He completed his graduation from Other in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gavin Kolodge as Pain Management (PM&R) is 20A18281 in California.
Gavin Kolodge provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Complete Profile:
Gavin Kolodge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Pain Management (PM&R)
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
9339 Genesee Ave, Ste 150, San Diego, California, 92121-2144
Phone:
858-357-9477
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032531967
Enrollment ID:
I20200623002836
NPI Number:
1407210537
NPI Enumeration Date:
05 Apr, 2016
NPI Last Update On:
21 Sep, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gavin Kolodge are as mentioned below.
License Number
Specialization
State
Status
20A18281
Pain Management
California
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gavin Kolodge is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Synergy Orthopedic Specialists, Inc. (0941450498)
44
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4445 Eastgate Mall, Ste 105 San Diego, California
Zip:
92121-1979
Phone Number:
858-357-9450
Fax Number:
858-412-6376
Patients can reach Gavin Kolodge at 9339 Genesee Ave, Ste 150, San Diego, California or can call to book an appointment on 858-357-9477. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.