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

Pacific Surgical Specialists Medical Group, Inc

Organization Specialist · NPI 1083885107

Pacific Surgical Specialists Medical Group, Inc is a Specialist in LA Jolla, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9850 Genesee Ave 510
LA Jolla, CA 92037-1224
Phone: (858) 623-2345
Fax: (858) 623-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G65602 (CA)

Record details

NPI number1083885107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wilde — President · (858) 623-2345
NPI enumeratedMarch 17, 2008
Last updated in NPPESMarch 17, 2008
Mailing address9850 Genesee Ave, 510, La Jolla, CA 92037-1224

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