# ROBERT E WAILES MD A PROFESSIONAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699863258
- **Authorized official:** ROBERT EUGENE WAILES M.D. (CEO)
- **Authorized official phone:** (760) 753-1104

## Contact information

- **Practice address:** 3998 VISTA WAY STE C106, OCEANSIDE, CA 92056-4500
- **Practice address phone:** (760) 941-2600
- **Practice address fax:** (760) 941-4814
- **Mailing address:** 477 N. EL CAMINO REAL STE B301, ENCINITAS, CA 92024
- **Mailing address phone:** (760) 753-1104
- **Mailing address fax:** (760) 943-6494

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 09/21/2016