# SPECIALISTS SURGERY CENTER OF DEL MAR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Outpatient Surgery of Del Mar
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700985397
- **Authorized official:** DR. GLENN B. COOK MD (PRESIDENT)
- **Authorized official phone:** (858) 755-3937

## Contact information

- **Practice address:** 12264 EL CAMINO REAL, SUITE 55, SAN DIEGO, CA 92130
- **Practice address phone:** (858) 755-3937
- **Practice address fax:** (858) 755-0060
- **Mailing address:** 12264 EL CAMINO REAL, SUITE 55, SAN DIEGO, CA 92130
- **Mailing address phone:** (858) 755-3937
- **Mailing address fax:** (858) 755-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G63727 | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 03/03/2026