Organization
WEST COAST SURGICAL ASSISTANTS
Active
Organization
WEST COAST SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY HAMMONDS (CHIEF EXECUTIVE OFFICER)
16199857698
Entity
Organization
Contact information
Practice address
10755 SCRIPPS POWAY PKWY, SUITE 383, SAN DIEGO, CA 92131-3924
(161) 998-5769
Mailing address
10755 SCRIPPS POWAY PKWY, SUITE 383, SAN DIEGO, CA 92131-3924
(161) 998-5769
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
G69685
CA
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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