Organization
SCRIPPS CLINIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B. SARNOFF M.D. (PRESIDENT)
(858) 554-8862
Entity
Organization
Contact information
Practice address
7565 MISSION VALLEY RD, SUITE 200, SAN DIEGO, CA 92108-4431
(619) 245-2350
(619) 245-2390
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
(858) 784-5906
(858) 784-5922
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C40904
RAILROAD MEDICARE
—
05
—
GR0013263
—
CA
01
—
ZZZ21938Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
12/14/2005
Last updated
12/11/2007
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