SCRIPPS CLINIC MEDICAL GROUP INC NPI 1073853180

NPI Information

NPI: 1073853180
Provider Name: SCRIPPS CLINIC MEDICAL GROUP, INC

Doing Business As: SCRIPPS PROTON THERAPY CENTER

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
9730 SUMMERS RIDGE RD
PTC-100
SAN DIEGO, CA
ZIP 92121
Phone: (858) 549-7400
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SCRIPPS CLINIC MEDICAL GROUP, INC is a radiation oncology radiology in San Diego, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SCRIPPS CLINIC MEDICAL GROUP, INC NPI is 1073853180. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Scripps Proton Therapy Center.

The provider's business location address is:

9730 SUMMERS RIDGE RD
PTC-100
SAN DIEGO, CA
ZIP 92121-101
Phone: (858) 549-7400

The provider's authorized official is James Mulvey .
The authorized official title is Senior Vice President and has the following contact phone number (858) 554-8500.

The enumeration date for this NPI number is 2/26/2013 and was last updated on 2/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	G66352	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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