Organization
SCRIPPS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS GLYNN BOLITHO M.D. (PRESIDENT)
(858) 458-5100
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, 307, LA JOLLA, CA 92037-1223
(858) 458-5100
(858) 458-1550
Mailing address
9834 GENESEE AVE, 307, LA JOLLA, CA 92037-1223
(858) 458-5100
(858) 458-1550
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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