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SAN DIEGO CA MULTI SPECIALTY ASC LLC NPI 1699959387


NPI Information

NPI: 1699959387
Provider Name: SAN DIEGO CA MULTI SPECIALTY ASC LLC

Doing Business As: MISSION VALLEY HEIGHTS SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1002011

Address:
7485 MISSION VALLEY RD
SUITE 106
SAN DIEGO, CA
ZIP 92108
Phone: (619) 291-3737
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SAN DIEGO CA MULTI SPECIALTY ASC LLC is an ambulatory surgical clinic center in San Diego, CA. SAN DIEGO CA MULTI SPECIALTY ASC LLC NPI is 1699959387. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Valley Heights Surgery Center.

The provider's business location address is:

7485 MISSION VALLEY RD
SUITE 106
SAN DIEGO, CA
ZIP 92108-422
Phone: (619) 291-3737
Fax: (619) 291-3738

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 05D1002011 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 6/22/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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