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

Pristine Surgical Incorporated

Organization Surgery Physician · NPI 1336648500

Pristine Surgical Incorporated is a Surgery Physician in San Diego, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

6699 Alvarado Rd Ste 2309
San Diego, CA 92120-5241
Phone: (619) 396-6637
Fax: (619) 825-3406
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 20A13344 (CA)

Record details

NPI number1336648500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vadim Avulov — President · (917) 602-4507
NPI enumeratedFebruary 2, 2018
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address7905 Tommy Dr, San Diego, CA 92119-1833

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