Organization
SCRIPPS CARDIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC K. EFFRON M.D. (DIRECTOR)
(858) 824-2900
Entity
Organization
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-2900
(858) 824-2910
Mailing address
9834 GENESEE AVE, SUITE 300, LA JOLLA, CA 92037-1223
(858) 824-2900
(858) 824-2910
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066150
—
CA
01
—
ZZZ52925Z
BLUE SHIELD
CA
Enumeration date
10/14/2006
Last updated
08/22/2020
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