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

Scripps Plastic Surgery Medical Group Inc

Organization Plastic Surgery Physician · NPI 1164510350

Scripps Plastic Surgery Medical Group Inc provides Plastic Surgery Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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