Organization
SURGICAL ASSOCIATES OF LA JOLLA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HYDE M.D. (PRESIDENT)
(858) 452-5054
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 660, LA JOLLA, CA 92037-1224
(858) 452-5054
(858) 452-5097
Mailing address
9850 GENESEE AVE, SUITE 660, LA JOLLA, CA 92037-1224
(858) 452-5054
(858) 452-5097
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087870
—
CA
Enumeration date
07/14/2006
Last updated
08/22/2020
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