MEDICARE: OUTPATIENT SURGERY OF POINT LOMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760581342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUTPATIENT SURGERY OF POINT LOMA

Provider Business Mailing Address
First Line	:	12021 WILSHIRE BLVD
Second Line	:	#864
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1206
Country	:	US
Telephone Number	:	310-471-5852
Fax Number	:	310-472-9582

Provider Business Practice Location Address
First Line	:	3434 MIDWAY DR
Second Line	:	#1006
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4923
Country	:	US
Telephone Number	:	619-223-2271
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID M. KUPFER
Credential	:	M.D.
Telephone Number	:	619-223-2271

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1659373652 — DR. TIMOTHY L CANNIS M.D.
Practice Location Address:

3434 MIDWAY DR , STE 1002
SAN DIEGO, CA
92110-4923

Practice Phone: 619-225-6200
Practice Fax: 619-225-6208

1972505857 — EMERGENCY CARE DYNAMICS INC
Practice Location Address:

3434 MIDWAY DR , STE 1002
SAN DIEGO, CA
92110-4923

Practice Phone: 619-225-6200
Practice Fax: 619-225-6208

1740282672 — DR. RICHARD F PRINCE M.D.
Practice Location Address:

3434 MIDWAY DR , STE 1002
SAN DIEGO, CA
92110-4923

Practice Phone: 619-225-6200
Practice Fax: 619-225-6208

1063414753 — ROBERT W CURRAN M.D.
Practice Location Address:

3434 MIDWAY DR , STE 1002
SAN DIEGO, CA
92110-4923

Practice Phone: 619-225-6200
Practice Fax: 619-225-6208

1851314660 — RICHARD C RICHLEY MD
Practice Location Address:

3434 MIDWAY DR , SUITE 2001
SAN DIEGO, CA
92110-4923

Practice Phone: 619-226-8871
Practice Fax: 619-226-1456

Directions to “OUTPATIENT SURGERY OF POINT LOMA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.