Alvarado Surgical Associates, a Medical Group, Inc.

Organization Active NPI Specialist · La Jolla, CA

NPI 1487843553 · NPPES record last updated Oct 15, 2007

Key facts

NPI
1487843553
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
ALVARADO SURGICAL ASSOCIATES, A MEDICAL GROUP, INC.
Practice address
9834 Genesee Ave Ste 328
La Jolla, CA 92037-1216
Phone
(858) 554-1770
Fax
(858) 554-1771
NPI assigned
Oct 15, 2007
Organization subpart
Yes
Parent organization (as reported)
ALVARADO SURGICAL ASSOCIATES, A MEDICAL GROUP, INC.

Authorized official

Name
Dr. Alan Craig Wittgrove, M.D.
Title
President
Phone
(858) 554-1770

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Alvarado Surgical Associates Inc (2 organizations share this tax ID)
Part of
Alvarado Surgical Associates Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X Yes

Addresses

Primary practice location

9834 Genesee Ave Ste 328
La Jolla, CA 92037-1216

Mailing address

9834 Genesee Ave Ste 328
La Jolla, CA 92037-1216
Phone (858) 554-1770

Other names

  • Wittgrove Bariatric Center Doing business as

Other providers in La Jolla, CA

All providers in La Jolla, CA · Specialist in California

Sources for this page

Verify at the official NPI Registry.