# PACIFIC SURGICAL SPECIALIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508391293
- **Authorized official:** DR. JUSTIN B KING MD (PRESIDENT)
- **Authorized official phone:** (310) 462-8668

## Contact information

- **Practice address:** 2345 E 8TH ST, SUITE 105, NATIONAL CITY, CA 91950-2800
- **Practice address phone:** (619) 609-4186
- **Practice address fax:** (619) 479-1006
- **Mailing address:** 2345 E 8TH ST, SUITE 105, NATIONAL CITY, CA 91950-2800
- **Mailing address phone:** (619) 609-4186
- **Mailing address fax:** (619) 479-1006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A89447 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2017
- **Last updated:** 05/01/2017