SCRIPPS MERCY AMBULATORY SURGERY CENTER LP NPI 1972668317

NPI Information

SCRIPPS MERCY AMBULATORY SURGERY CENTER, LP is an ambulatory surgical clinic center in San Diego, CA. SCRIPPS MERCY AMBULATORY SURGERY CENTER, LP NPI is 1972668317. The provider is registered as an organization entity type.
The provider Is Doing Business As Scripps Mercy Surgery Pavilion.

The provider's business location address is:

550 WASHINGTON ST
SUITE 101
SAN DIEGO, CA
ZIP 92103-213
Phone: (619) 686-3434
Fax: (619) 686-3618

The provider's authorized official is Steven Michael Green .
The authorized official title is Executive Director and has the following contact phone number (619) 686-3434.

The CLIA number assigned to this NPI record is 05D1028357 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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