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
9894 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 626-5663
(858) 784-5922
Mailing address
FILE#54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05908Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
12/14/2005
Last updated
12/16/2009
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