PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP INC NPI 1083885107

NPI Information

PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC is a specialist in La Jolla, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC NPI is 1083885107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9850 GENESEE AVE
510
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 623-2345
Fax: (858) 623-2343

The provider's authorized official is Mary K Wilde .
The authorized official title is President and has the following contact phone number (858) 623-2345.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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