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PACIFIC COAST SURGICAL GROUP NPI 1326370677


NPI Information

NPI: 1326370677
Provider Name: PACIFIC COAST SURGICAL GROUP
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 05D2194756

Address:
4033 3RD AVE
SUITE204
SAN DIEGO, CA
ZIP 92103
Phone: (619) 295-8677
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PACIFIC COAST SURGICAL GROUP is a surgery in San Diego, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PACIFIC COAST SURGICAL GROUP NPI is 1326370677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4033 3RD AVE
SUITE204
SAN DIEGO, CA
ZIP 92103-117
Phone: (619) 295-8677
Fax: (619) 295-7935

The provider's authorized official is Dennis Edward Mayer .
The authorized official title is Partner and has the following contact phone number (619) 295-8677.

The CLIA number assigned to this NPI record is 05D2194756 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2010 and was last updated on 2/10/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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