Surgical Physician Assistant Specialist, Inc.
Specialty details in registry · La Mesa, CA
At a glance
5555 Grossmont Center Dr, La Mesa, CA 91942-3019
NPPES record updated Jan 22, 2026. Public records can lag behind changes at a practice.
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Practice location
5555 Grossmont Center DrLa Mesa, CA 91942-3019
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 302F00000X
- Enumeration date
- Jun 4, 2021
- Record updated
- Jan 22, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
302F00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
5555 Grossmont Center DrLa Mesa, CA 91942-3019
- Phone
- (619) 740-6000
Mailing address
1401 21ST ST # 11082SACRAMENTO, CA 958115226
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