Organization
SCRIPPS MERCY AMBULATORY SURGERY CENTER, LP
Active
Other names
Scripps Mercy Surgery Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MICHAEL GREEN (EXECUTIVE DIRECTOR)
(619) 686-3434
Entity
Organization
Contact information
Practice address
550 WASHINGTON ST, SUITE 101, SAN DIEGO, CA 92103-2213
(619) 686-3434
(619) 686-3618
Mailing address
550 WASHINGTON ST, SUITE 101, SAN DIEGO, CA 92103-2213
(619) 686-3434
(619) 686-3618
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01670F
—
CA
Enumeration date
12/26/2006
Last updated
08/22/2020
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