# MARC M. SEDWITZ, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Coast Vascular and General Surgery, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609956432
- **Authorized official:** MARC M. SEDWITZ M.D. (PRESIDENT)
- **Authorized official phone:** (858) 452-0306

## Contact information

- **Practice address:** 9850 GENESEE AVE, SUITE 560, LA JOLLA, CA 92037-1224
- **Practice address phone:** (858) 452-0306
- **Practice address fax:** (858) 452-1421
- **Mailing address:** 9850 GENESEE AVE, SUITE 560, LA JOLLA, CA 92037-1224
- **Mailing address phone:** (858) 452-0306
- **Mailing address fax:** (858) 452-1421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 05/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0076800 | — | CA |