# PAUL SCHRUPP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTEGRATED SURGERY CENTER 107 LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528332087
- **Authorized official:** MR. PAUL SCHRUPP (CEO)
- **Authorized official phone:** (858) 451-2280

## Contact information

- **Practice address:** 15525 POMERADO RD STE E6, POWAY, CA 92064-2427
- **Practice address phone:** (858) 451-2280
- **Practice address fax:** (858) 451-2006
- **Mailing address:** 15525 POMERADO RD STE E6, POWAY, CA 92064-2427
- **Mailing address phone:** (858) 451-2280
- **Mailing address fax:** (858) 451-2006

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012