Healthcare Provider Details

I. General information

NPI: 1942143649
Provider Name (Legal Business Name): XIMED CENTER FOR MEDICAL & SURGICAL WEIGHT MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE STE 570
LA JOLLA CA
92037-1229
US

IV. Provider business mailing address

9850 GENESEE AVE STE 570
LA JOLLA CA
92037-1229
US

V. Phone/Fax

Practice location:
  • Phone: 858-457-4917
  • Fax: 858-646-0017
Mailing address:
  • Phone: 858-457-4917
  • Fax: 858-646-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SUNIL BHOYRUL
Title or Position: CEO
Credential: MD
Phone: 858-342-1309