Provider Type Icon

PACIFIC SURGICAL SPECIALIST LLC NPI 1508391293


NPI Information

NPI: 1508391293
Provider Name: PACIFIC SURGICAL SPECIALIST LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2345 E 8TH ST
SUITE 105
NATIONAL CITY, CA
ZIP 91950
Phone: (619) 609-4186
Get Directions

PACIFIC SURGICAL SPECIALIST LLC is a medical specialty clinic center in National City, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PACIFIC SURGICAL SPECIALIST LLC NPI is 1508391293. The provider is registered as an organization entity type.

The provider's business location address is:

2345 E 8TH ST
SUITE 105
NATIONAL CITY, CA
ZIP 91950-800
Phone: (619) 609-4186
Fax: (619) 479-1006

The provider's authorized official is Justin B King .
The authorized official title is President and has the following contact phone number (310) 462-8668.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 5/1/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyA89447CALIFORNIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.