Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pacific Surgical Specialists Medical Group, Inc

Organization Specialist · NPI 1083885107

Pacific Surgical Specialists Medical Group, Inc provides Specialist services 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 Not confirmed with CMS for 18 years — call before visiting
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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