NPI 1164510350

Scripps Plastic Surgery Medical Group INC

Organisation Plastic Surgery Physician La Jolla, CA

Practice location

Address: 9834 Genesee Ave #311, La Jolla, CA 92037
Phone: (858) 458-5100
Fax: (858) 458-1550

Authorised official

Name: Douglas Glynn Bolitho
Title: Owner
Phone: (858) 458-5100

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence A69572 (CA)

Other Plastic Surgery providers in California →

Registry record

NPI: 1164510350
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 10 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.