Organization
SCRIPPS HEALTH
Active
Other names
Scripps Memorial Hospital La Jolla SNF Unit
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROTHBERGER (EVP CFO)
(858) 678-6828
Entity
Organization
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1276
(858) 457-4123
Mailing address
10790 RANCHO BERNARDO RD # 4S-303, SAN DIEGO, CA 92127-5705
(858) 657-4218
(858) 657-4243
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050324
BLUE CROSS
—
01
—
080000050
STATE LICENSE
—
01
—
27
KAISER
—
01
—
6151030
AETNA
—
01
—
LTC55498F
MEDICAL IN PATIENT ADMINI
—
01
—
LTC70035F
MEDICAL IN PATIENT
—
01
—
SMLA
UNIVERSAL CARE
—
01
—
ZZT40324F
MEDICAL HMO OUT PATIENT
—
01
—
ZZZA3701Z
BLUE SHIELD
—
Enumeration date
12/30/2005
Last updated
03/04/2020
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