Healthcare Provider Details

I. General information

NPI: 1689907909
Provider Name (Legal Business Name): SCRIPPS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 09/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11025 N TORREY PINES RD STE 200
LA JOLLA CA
92037-1030
US

IV. Provider business mailing address

11025 N TORREY PINES RD STE 200
LA JOLLA CA
92037-1030
US

V. Phone/Fax

Practice location:
  • Phone: 858-455-9100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT SARNOFF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 858-455-9100