Individual provider · Type 1 NPI

Sean Christopher Shughrou, PA-C

Surgical Physician Assistant · La Jolla, CA

NPI number 1083306369 Active

Practice location

9898 Genesee Ave
La Jolla, CA 92037-1205

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA65344 (CA)
Surgical Physician Assistant Primary 363AS0400XPA65344 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1083306369

Sean Christopher Shughrou, PA-C's National Provider Identifier is 1083306369, issued on May 24, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Jolla, CA. The record was last updated on May 29, 2025.