# SK CLLINIC SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952560740
- **Authorized official:** MRS. KAREN F BREMSETH (INSURANCE BILLER)
- **Authorized official phone:** (858) 454-3161

## Contact information

- **Practice address:** 528 NAUTILUS ST, LA JOLLA, CA 92037-6138
- **Practice address phone:** (858) 454-3161
- **Practice address fax:** (858) 454-0790
- **Mailing address:** 528 NAUTILUS ST, LA JOLLA, CA 92037-6138
- **Mailing address phone:** (858) 454-3161
- **Mailing address fax:** (858) 454-0790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G029780 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 07/01/2008