Organization
SCRIPPS CLINIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B. SARNOFF M.D. (PRESIDENT)
(858) 554-8862
Entity
Organization
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 455-9100
(858) 554-8817
Mailing address
FILE#54433, LOS ANGELES, CA 90074-0001
(858) 784-5906
(858) 784-5922
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
—
GAU000440
—
CA
05
—
GR0092940
—
CA
05
—
GRE000970
—
CA
05
—
GSD001020
—
CA
01
—
ZZZ74475Z
BLUE SHIELD
CA
05
—
ZZZ74475Z
—
CA
Enumeration date
12/07/2005
Last updated
12/10/2007
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