Organization
SCRIPPS HEALTH
Active
Parent organization
SCRIPPS HEALTH
Other names
Scripps Memorial Hospital La Jolla
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCRIPPS HEALTH
Authorized official
BRETT TANDE (EVP CFO)
(858) 678-7227
Entity
Organization
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1200
(858) 457-4123
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 927-5328
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050324
BLUE CROSS
—
01
—
050324B000000
1011 FUND ADMINISTERED BY
—
01
—
080000050
STATE LICENSE
—
01
—
164SHIJ
COUNTY MEDICAL SERVICES
—
01
—
27
KAISER
—
01
—
6151030
AETNA
—
01
—
HSC30324F
MEDICAL IN PATIENT
—
01
—
SMLA
UNIVERSAL CARE
—
01
—
ZZT30324F
MEDICAL IN PATIENT ADMINI
—
01
—
ZZT40324F
MEDICAL OUT PATIENT
—
01
—
ZZZA3701Z
BLUE SHIELD
—
Enumeration date
12/30/2005
Last updated
06/27/2022
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