COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC SURGERY LLC NPI 1386748440

NPI Information

COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC SURGERY LLC is an ambulatory surgical clinic center in San Diego, CA. COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC SURGERY LLC NPI is 1386748440. The provider is registered as an organization entity type.
The provider Is Doing Business As Sharp San Diego Surgery Center.

The provider's business location address is:

5643 COPLEY DR STE 100
SAN DIEGO, CA
ZIP 92111-903
Phone: (858) 268-3566
Fax: (858) 268-0430

The provider's authorized official is Stacy Pena .
The authorized official title is Regional Administrator and has the following contact phone number (858) 268-3566.

The CLIA number assigned to this NPI record is 05D0950889 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 4/25/2024.

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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