# BALBOA SURGICAL INSTITUTE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DOUGLAS DOBECKI, M.D., INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275006173
- **Legal business name:** DOUGLAS DOBECKI, M.D., INC.
- **Authorized official:** DOUGLAS A. DOBECKI JR. M.D. (PRESIDENT)
- **Authorized official phone:** (858) 576-1011

## Contact information

- **Practice address:** 7625 MESA COLLEGE DRIVE, SUITE 315A, SAN DIEGO, CA 92111-5343
- **Practice address phone:** (858) 576-1011
- **Practice address fax:** (858) 576-1025
- **Mailing address:** 7625 MESA COLLEGE DRIVE, SUITE 315A, SAN DIEGO, CA 92111-5343
- **Mailing address phone:** (858) 576-1011
- **Mailing address fax:** (858) 576-1025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 01/03/2019