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Organization

SCRIPPS ENCINITAS SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC BOON (AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization

Contact information

Practice address
320 SANTA FE DR, STE LL2, ENCINITAS, CA 92024-5138
(760) 632-3900
(760) 362-3950
Mailing address
320 SANTA FE DR, STE LL2, ENCINITAS, CA 92024-5138
(760) 632-3900
(760) 362-3950

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00726468
RAILROAD MEDICARE
CA
Enumeration date
03/19/2007
Last updated
09/05/2024
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