Organization
SCRIPPS HEALTH
Active
Parent organization
SCRIPPS HEALTH
Other names
Scripps Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCRIPPS HEALTH
Authorized official
RICHARD ROTHBERGER (CORPORATE EXECUTIVE VP/CFO)
(858) 678-6919
Entity
Organization
Contact information
Practice address
310 SANTA FE DR, ENCINITAS, CA 92024-5110
(760) 753-5594
(858) 784-5922
Mailing address
10790 RANCHO BERNARDO RD # 4S-303, SAN DIEGO, CA 92127-5705
(858) 927-5328
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C40904
RAILROAD MEDICARE
—
05
—
GR0013266
—
CA
01
—
ZZZ56859Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
12/13/2005
Last updated
03/04/2020
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