Organization
EGL MANAGEMENT INC.
Active
Other names
EGL Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT RANDALL MILLER M.D. (PRESIDENT)
(858) 453-3133
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037-1223
(858) 453-3133
(858) 453-0433
Mailing address
9834 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037-1223
(858) 453-3133
(858) 453-0433
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
B2005015523
CA
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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