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

Scripps Plastic Surgery Medical Group Inc

Organization Plastic Surgery Physician · NPI 1164510350

Scripps Plastic Surgery Medical Group Inc is a Plastic Surgery Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

9834 Genesee Ave #311
LA Jolla, CA 92037
Phone: (858) 458-5100
Fax: (858) 458-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A69572 (CA)

Record details

NPI number1164510350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Bolitho — Owner · (858) 458-5100
Other names O Glynn Bolitho
NPI enumeratedOctober 11, 2006
Last updated in NPPESMay 10, 2011
Mailing address9834 Genesee Ave, 311, La Jolla, CA 92037

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