MS. MARIALYN JO SARDO M.D. NPI 1679724462

NPI Information

  • NPI: 1679724462
  • Provider Name: MS. MARIALYN JO SARDO, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 9850 GENESEE AVENUE
    STE. 380
    LA JOLLA, CA
    ZIP 92037
  • Phone: (858) 452-6226

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NPI Details

MS. Marialyn Jo Sardo, M.D. is a plastic and reconstructive surgery surgery in La Jolla, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. MS. Marialyn Jo Sardo, M.D. NPI is 1679724462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9850 GENESEE AVENUE
STE. 380
LA JOLLA, CA
ZIP 92037
Phone: (858) 452-6226
Fax: (858) 452-6235

The enumeration date for this NPI number is 10/10/2008 and was last updated on 9/15/2011.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryG51066CALIFORNIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WG510660MEDICAIDCALIFORNIA
21613718MEDICARE PINCALIFORNIA
3A93034MEDICARE UPINCALIFORNIA

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: 3/30/2025

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