UCSD SURGICAL CENTER OF SAN DIEGO LLC NPI 1316462377

NPI Information

UCSD SURGICAL CENTER OF SAN DIEGO, LLC is an ambulatory surgical clinic center in San Diego, CA. UCSD SURGICAL CENTER OF SAN DIEGO, LLC NPI is 1316462377. The provider is registered as an organization entity type.

The provider's business location address is:

4910 DIRECTORS PL STE 100
SAN DIEGO, CA
ZIP 92121-814
Phone: (858) 750-4800

The provider's authorized official is Monica Crellin .
The authorized official title is Chief Administrative Officer and has the following contact phone number (858) 750-4800.

The CLIA number assigned to this NPI record is 05D2011036 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2017 and was last updated on 7/21/2022.

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:

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