# UNIVERSITY OF SAN DIEGO MEDICAL CENTER

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

## Provider details

- **NPI number:** 1407112147
- **Authorized official:** JENNIFER LYNN BAKER MD (SURGICAL RESIDENT)
- **Authorized official phone:** (515) 249-0547

## Contact information

- **Practice address:** 9500 GILMAN DR, SOM BUILDING \#1, ROOM 103, LA JOLLA, CA 92093-5004
- **Practice address phone:** (858) 822-5604
- **Practice address fax:** (858) 822-6994
- **Mailing address:** 249 BONAIR ST, LA JOLLA, CA 92037-5974
- **Mailing address phone:** (515) 249-0547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A120237 | CA | Yes |

## Other

- **Enumeration date:** 04/06/2012
- **Last updated:** 04/06/2012