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Organization
SCRIPPS HEALTH
Active
Organization
SCRIPPS HEALTH
Active
Parent organization
SCRIPPS HEALTH
Other names
Scripps Clinic Medical Laboratories
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCRIPPS HEALTH
Authorized official
RICHARD ROTHBERGER (CORPORATE EXECUTIVE VP/CFO)
(858) 678-6919
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE STE 408, LA JOLLA, CA 92037-1223
(858) 554-9100
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
NULL
207ZC0006X
Clinical Pathology Physician
—
—
207ZC0500X
Cytopathology Physician
—
NULL
207ZC0500X
Cytopathology Physician
—
—
207ZI0100X
Immunopathology Physician
—
NULL
207ZI0100X
Immunopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
08/24/2021
Last updated
09/09/2021
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