Scripps Plastic Surgery Medical Group INC
NPI #1164510350 in La Jolla, California
Provider Information
- NPI Number
- 1164510350
- Entity Type
- Organization
- Organization Name
- Scripps Plastic Surgery Medical Group INC
- Primary Specialty
- Plastic Surgery
- Enumeration Date
- Oct 11, 2006
- Last Updated
- May 10, 2011
Practice Location
- Address
- 9834 GENESEE AVE
- Address 2
- #311
- City
- La Jolla
- State
- California
- ZIP Code
- 92037
- Phone
- (858) 458-5100
Authorized Official
- Name
- DOUGLAS GLYNN BOLITHO, MD PHD
- Title
- OWNER
- Phone
- (858) 458-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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