Organization
SCRIPPS HEALTH
Active
Parent organization
SCRIPPS HEALTH
Other names
Scripps Clinic Medical Laboratories
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCRIPPS HEALTH
Authorized official
RICHARD ROTHBERGER (CORPORATE EXECUTIVE VP/CFO)
(858) 678-6919
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE STE 408, LA JOLLA, CA 92037-1223
(858) 554-9100
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDF-90004867
CLINICAL AND PUBLIC HEALTH LABORATORY LICENSE
CA
Enumeration date
08/24/2021
Last updated
09/09/2021
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