# TORREY PINES ORTHOPAEDIC MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1982749586
- **Authorized official:** HEATHER GUSTIN (OFFICE MANAGER)
- **Authorized official phone:** (858) 535-1075

## Contact information

- **Practice address:** 9850 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037
- **Practice address phone:** (858) 535-1894
- **Practice address fax:** (858) 453-9810
- **Mailing address:** 9850 GENESSE AVE, SUITE 210, LA JOLLA, CA 92037-1206
- **Mailing address phone:** (858) 535-1894
- **Mailing address fax:** (858) 953-9810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C29014 | CA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | G24499 | CA | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | A43071 | CA | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | G47541 | CA | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | A72768 | CA | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | A96167 | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | G54652 | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | G75801 | CA | — |
| 2251X0800X | Orthopedic Physical Therapist | PT20767 | CA | — |
| 2251X0800X | Orthopedic Physical Therapist | PT29781 | CA | — |
| 2251X0800X | Orthopedic Physical Therapist | PT29782 | CA | — |
| 2251X0800X | Orthopedic Physical Therapist | PT34618 | CA | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | OT2588 | CA | — |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 04/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | WPT20767D | PPIN | — |