Organization
DEL MAR SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS MICHAEL KETTEL MD (OFFICER)
(858) 794-6363
Entity
Organization
Contact information
Practice address
11425 EL CAMINO REAL, SAN DIEGO, CA 92130
(858) 794-6363
(858) 794-6360
Mailing address
11425 EL CAMINO REAL, SAN DIEGO, CA 92130
(858) 794-6363
(858) 794-6360
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
080000649
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
11/09/2018
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