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Organization
EGL MANAGEMENT INC.
Active
Organization
EGL MANAGEMENT INC.
Active
Other names
EGL Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT RANDALL MILLER M.D. (PRESIDENT)
(858) 453-3133
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037-1223
(858) 453-3133
(858) 453-0433
Mailing address
9834 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037-1223
(858) 453-3133
(858) 453-0433
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
B2005015523
CA
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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