# COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sharp San Diego Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386748440
- **Authorized official:** MRS. STACY PENA (REGIONAL ADMINISTRATOR)
- **Authorized official phone:** (858) 268-3566

## Contact information

- **Practice address:** 5643 COPLEY DR STE 100, SAN DIEGO, CA 92111-7903
- **Practice address phone:** (858) 268-3566
- **Practice address fax:** (858) 268-0430
- **Mailing address:** 5643 COPLEY DR STE 100, SAN DIEGO, CA 92111-7903
- **Mailing address phone:** (858) 268-3566
- **Mailing address fax:** (858) 268-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 080000519 | CA | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 12/19/2025
