# SCRIPPS CLINIC MEDICAL GROUP

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

## Provider details

- **NPI number:** 1356696496
- **Authorized official:** MR. CHRIS VAN GORDER (CEO)
- **Authorized official phone:** (858) 554-9100

## Contact information

- **Practice address:** 10666 N TORREY PINES RD, 403C, LA JOLLA, CA 92037-1027
- **Practice address phone:** (858) 554-9100
- **Mailing address:** 10666 N TORREY PINES RD, 403C, LA JOLLA, CA 92037-1027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A 122496 | CA | Yes |

## Other

- **Enumeration date:** 07/16/2012
- **Last updated:** 08/14/2012