Healthcare Provider Details

I. General information

NPI: 1710548300
Provider Name (Legal Business Name): EMILY SKARDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 CAMPUS POINT DR
LA JOLLA CA
92093-1350
US

IV. Provider business mailing address

1801 INWOOD DRIVE
DALLAS TX
75390-8883
US

V. Phone/Fax

Practice location:
  • Phone: 858-657-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberBP10068224
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberA195816
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: