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

Philip George Broeckel Jr., MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1629146600

Philip George Broeckel Jr., MD is an Emergency Medical Services (Emergency Medicine) Physician in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (858) 626-6151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence G37332 (CA)

Record details

NPI number1629146600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESOctober 19, 2010

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