Southern California Surgical Inc

LBN: Southern California Surgical Inc
Southern California Surgical Inc is an health care organization with primary practice located at 8554 La Mesa Blvd , La Mesa CA 91942-9558. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Southern California Surgical Inc can be contacted via phone (619) 464-4469, or through Wannares, Jeffrey via phone (508) 898-0986.

Contact Information

Primary practice address
8554 La Mesa Blvd La Mesa CA 91942-9558
Phone: (619) 464-4469
Fax: (619) 713-0479
Website:
Map and Directions
Authorized official contact:
Name: Wannares, Jeffrey Doctor of Medicine (MD)
Phone: (508) 898-0986

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1861014599
LBN Legal business name Southern California Surgical Inc
DBA Doing business as
Authorized official Wannares, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2020
Last updated May 15th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861014599 NPPES
California Other 1851728141 MEDICARE
California MEDICAID 1851728141 MEDICARE

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