Scripps Plastic Surgery Medical Group Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A69572 Issued in CA

Legal business name

SCRIPPS PLASTIC SURGERY MEDICAL GROUP INC

Doing business as

O Glynn Bolitho

Practice address

9834 Genesee Ave
#311
La Jolla, CA 92037

Phone

(858) 458-5100

Fax

(858) 458-1550

NPI assigned

Oct 11, 2006

Last updated

May 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Glynn Bolitho, MD PHDNPI 1740488196

Title

Owner

Phone

(858) 458-5100

Specialties & licenses 1

Addresses

Other names 1

• O Glynn Bolitho Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Glynn Bolitho, M.D.

  • Plastic Surgery Physician
  • La Jolla, CA
  • NPI 1740488196
  NPD (past) Authorized official
• Arash Mozayan Isfahani, M.D.

  • Ophthalmology Physician
  • Encinitas, CA
  • NPI 1093948176
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1164510350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "#311",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-458-5100",
            "fax_number": "858-458-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "#311",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-458-5100",
            "fax_number": "858-458-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS PLASTIC SURGERY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "BOLITHO",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-458-5100",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A69572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O Glynn Bolitho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scripps Health
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• Scripps Health (Scripps Memorial Hospital La Jolla SNF Unit)
• Scripps Health Green Ambulatory Pharmacy
• Scripps Health Inpatient Providers Medical Group Inc.
• Scripps Surgery Center, LLC
• SD Psychology, a Professional Corporation
• SDPM Medical Group, Incorporated (San Diego Pain Management)
• Stephen L. Seagren, M.D.
• Laurel Seaholm, L.AC., DIPL. O.M.

• Plastic Surgery Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.