Pacific Surgical Specialists Medical Group, Inc in La Jolla - Specialist

Pacific Surgical Specialists Medical Group, Inc - NPI 1083885107

Pacific Surgical Specialists Medical Group, Inc is a Specialist in La Jolla, California. Pacific Surgical Specialists Medical Group, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pacific Surgical Specialists Medical Group, Inc is 1083885107. The last update date is 2008-03-17.

Pacific Surgical Specialists Medical Group, Inc's current location address is 9850 Genesee Ave, La Jolla, California. You can contact this provider via phone number 8586232345 and fax number 8586232343. The mailing address for Pacific Surgical Specialists Medical Group, Inc is 9850 Genesee Ave, La Jolla, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pacific Surgical Specialists Medical Group, Inc
Address 9850 Genesee Ave, La Jolla, California
Phone Number 8586232345
Fax Number 8586232343
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wilde K Mary
Credentials MD
Telephone Number 8586232345

NPI Number Detail

NPI Number 1083885107
Provider Enumeration Date 2008-03-17
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 9850 Genesee Ave
City La Jolla
State California (CA)
Post Code 920371224
Phone Number 8586232345
Fax Number 8586232343

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G65602
Definition:
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.

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FAQs about Pacific Surgical Specialists Medical Group, Inc

What is the unique provider identifier assigned to Pacific Surgical Specialists Medical Group, Inc?

The Pacific Surgical Specialists Medical Group, Inc has been issued the NPI (National Provider Identifier) 1083885107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Pacific Surgical Specialists Medical Group, Inc is located?

The Pacific Surgical Specialists Medical Group, Inc is situated at the following address: 9850 Genesee Ave, La Jolla, CA, 920371224.

What is Pacific Surgical Specialists Medical Group, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Pacific Surgical Specialists Medical Group, Inc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date was the 1083885107 assigned to Pacific Surgical Specialists Medical Group, Inc?

The Pacific Surgical Specialists Medical Group, Inc was issued its 1083885107 on 2008-03-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Pacific Surgical Specialists Medical Group, Inc most recently updated or revised?

The information pertaining to Pacific Surgical Specialists Medical Group, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-17.

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