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

So-Cal Providers Medical Group, Inc

Organization Specialist · NPI 1871785899

So-Cal Providers Medical Group, Inc is a Specialist in LA Jolla, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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 Ste 560
LA Jolla, CA 92037-1224
Phone: (858) 455-6330
Fax: (858) 455-5408
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X (CA)

Record details

NPI number1871785899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Buehler — President · (858) 455-6330
NPI enumeratedAugust 14, 2007
Last updated in NPPESJuly 21, 2022
Mailing address9850 Genesee Ave, Ste 560, La Jolla, CA 92037-1224

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