# UCSD SURGICAL CENTER OF SAN DIEGO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316462377
- **Authorized official:** MRS. MONICA CRELLIN (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (858) 750-4800

## Contact information

- **Practice address:** 4910 DIRECTORS PL STE 100, SAN DIEGO, CA 92121-3814
- **Practice address phone:** (858) 750-4800
- **Mailing address:** 4910 DIRECTORS PL STE 100, SAN DIEGO, CA 92121-3814
- **Mailing address phone:** (858) 750-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2017
- **Last updated:** 07/21/2022