Organization
SHARP CHULA VISTA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT EVANS (SVP CHIEF STRATEGY OFFICER & CEO)
(619) 740-4648
Entity
Organization
Contact information
Practice address
752 MEDICAL CENTER CT STE 306, CHULA VISTA, CA 91911-6660
(619) 592-7950
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
(858) 499-3025
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
CA
Other
Enumeration date
02/21/2008
Last updated
06/16/2025
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