Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Surgery Center of San Luis Obispo, LLC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1811796162

Pacific Surgery Center of San Luis Obispo, LLC is an Orthopaedic Surgery of the Spine Physician in San Luis Obispo, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4472 Broad St Ste 150
San Luis Obispo, CA 93401-7990
Phone: (818) 348-7246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1811796162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellie Tuason — Director Of Nursing · (818) 348-7246
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address7230 Medical Center Dr Ste 500, West Hills, CA 91307-4024

Other providers in San Luis Obispo