# SCRIPPS HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SCRIPPS HEALTH
- **Other names:** Scripps Clinic Medical Laboratories
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720755275
- **Legal business name:** SCRIPPS HEALTH
- **Authorized official:** RICHARD ROTHBERGER (CORPORATE EXECUTIVE VP/CFO)
- **Authorized official phone:** (858) 678-6919

## Contact information

- **Practice address:** 9834 GENESEE AVE STE 408, LA JOLLA, CA 92037-1223
- **Practice address phone:** (858) 554-9100
- **Mailing address:** 10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 09/09/2021