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NPI Code Detail

MEDICARE: SCRIPPS HEALTH SERVICES, LLC

MEDICARE: SCRIPPS HEALTH SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor201418810017CA

General Provider Information

NPI Number : 1235548330
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCRIPPS HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 9750 MIRAMAR RD STE 130
Second Line :
City : SAN DIEGO
State : CA
Zip : 92126-4561
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9750 MIRAMAR RD STE 130
Second Line :
City : SAN DIEGO
State : CA
Zip : 92126-4561
Country : US
Telephone Number : 858-527-0232
Fax Number :
Authorized Official
Title or Position : SUPERVISOR OF ANCILLARY SERVICES
Name : ASHLEY FLETCHER
Credential :
Telephone Number : 214-619-2300
Provider Enumeration Date : 08/04/2014
Last Update Date : 08/04/2014

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Directions to “SCRIPPS HEALTH SERVICES, LLC ” Practice Location

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