Organization
SCRIPPS HEALTH
Active
Other names
Scripps Green Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT TANDE (EVP/CFO)
(858) 678-7227
Entity
Organization
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 455-9100
Mailing address
10790 RANCHO BERNARDO RD # 4S-303, SAN DIEGO, CA 92127-5705
(858) 927-5328
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
08 0000 139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05 0424
BLUE CROSS
CA
01
—
3
KAISER
CA
01
—
6151040
AETNA
CA
05
—
HCP 30424J
—
CA
01
—
HSC 30424J
MCL HMO IN-PATIENT
CA
05
—
HSC 30424J
—
CA
01
—
HSP 40424J
MCL HMO OUT-PATIENT
CA
05
—
HSP 40424J
—
CA
01
—
SCME
UNIVERSAL CARE
CA
01
—
ZZZH3705Z
BLUE SHIELD
CA
Enumeration date
06/14/2006
Last updated
06/27/2022
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