Healthcare Provider Details

I. General information

NPI: 1497839211
Provider Name (Legal Business Name): OBSTETRICS & GYNECOLOGY SURGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8860 CENTER DR STE 360
LA MESA CA
91942
US

IV. Provider business mailing address

7695 CARDINAL CT STE 240
SAN DIEGO CA
92123-3357
US

V. Phone/Fax

Practice location:
  • Phone: 858-277-9378
  • Fax: 858-277-9370
Mailing address:
  • Phone: 858-277-9378
  • Fax: 858-277-9370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG73947
License Number StateCA

VIII. Authorized Official

Name: DR. CRAIG SEAN SAFFER
Title or Position: PRESIDENT
Credential: MD
Phone: 858-277-9378