| Scripps Clinic Medical Group | |
|
4060 4th Ave 508 San Diego CA 92103-2116 | |
| (619) 497-6192 | |
| (858) 784-5922 |
| Full Name | Scripps Clinic Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4060 4th Ave, San Diego, California |
| Authorized Official Name and Position | Robert B. Sarnoff (PRESIDENT) |
| Authorized Official Contact | 8585548862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scripps Clinic Medical Group File#54433 Los Angeles CA 90074-0001 Ph: (858) 784-5906 | Scripps Clinic Medical Group 4060 4th Ave 508 San Diego CA 92103-2116 Ph: (619) 497-6192 |
| NPI Number | 1013993450 |
|---|---|
| Provider Enumeration Date | 12/19/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013993450 | NPI | - | NPPES |
| ZZZ05907Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
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