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NPI 1134252802

NPI 1134252802 : SCRIPPS CLINIC MEDICAL GROUP : LA JOLLA, CA

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General NPI Number Information
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    NPI Number           |    1134252802
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCRIPPS CLINIC MEDICAL GROUP 
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Dates
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    Enumeration Date     |    03/13/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    10666 N TORREY PINES RD 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1027
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    Country              |    US
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    Telephone            |    858-455-9100
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    Fax                  |    858-784-5933
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Provider Business Mailing Address
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    Address Line         |    FILE 54433 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-0001
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    Country              |    US
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    Telephone            |    858-784-5767
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    Fax                  |    858-784-5933
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ROBERT  SARNOFF 
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    Credential           |    M.D.
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    Telephone            |    858-784-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    204F00000X
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    Taxonomy Name        |    Transplant Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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