Healthcare Provider Details

I. General information

NPI: 1922611920
Provider Name (Legal Business Name): SCRIPPS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 WASHINGTON ST STE 110
SAN DIEGO CA
92103-2213
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 858-964-1014
  • Fax:
Mailing address:
  • Phone: 858-964-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RICHARD ROTHBERGER
Title or Position: CORPORATE EXECUTIVE VP/CFO
Credential:
Phone: 858-678-6919