Pacific Surgical Specialists Medical Group, Inc

LBN: Pacific Surgical Specialists Medical Group, Inc
Pacific Surgical Specialists Medical Group, Inc is an health care organization with primary practice located at 9850 Genesee Ave 510, La Jolla CA 92037-1224. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pacific Surgical Specialists Medical Group, Inc can be contacted via phone (858) 623-2345, or through Wilde, Mary K via phone (858) 623-2345.

Contact Information

Primary practice address
9850 Genesee Ave 510 La Jolla CA 92037-1224
Phone: (858) 623-2345
Fax: (858) 623-2343
Website:
Map and Directions
Authorized official contact:
Name: Wilde, Mary K Doctor of Medicine (MD)
Phone: (858) 623-2345

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G65602 California

Profile Details

NPI number 1083885107
LBN Legal business name Pacific Surgical Specialists Medical Group, Inc
DBA Doing business as
Authorized official Wilde, Mary K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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