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SDOSC LP NPI 1942261599


NPI Information

NPI: 1942261599
Provider Name: SDOSC, LP

Doing Business As: SAN DIEGO OUTPATIENT AMBULATORY SURGICAL CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 05D1012482

Address:
3939 RUFFIN RD STE 101
SAN DIEGO, CA
ZIP 92123
Phone: (619) 299-9530
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SDOSC, LP is an ambulatory surgical clinic center in San Diego, CA. SDOSC, LP NPI is 1942261599. The provider is registered as an organization entity type.
The provider Is Doing Business As San Diego Outpatient Ambulatory Surgical Center.

The provider's business location address is:

3939 RUFFIN RD STE 101
SAN DIEGO, CA
ZIP 92123-804
Phone: (619) 299-9530
Fax: (619) 299-3259

The provider's authorized official is Bruce V. Foerster .
The authorized official title is Owner/medical Director and has the following contact phone number (619) 299-9530.

The CLIA number assigned to this NPI record is 05D1012482 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 3/9/2021.


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 Surgical090000114CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1051012OTHERBLUE CROSS
2ZZT11824GMEDICAIDCALIFORNIA
3ZZZH3742ZOTHERBLUE SHIELD

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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