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General NPI Number Information
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NPI Number | 1710700927
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Entity Type | Organization
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Legal Business Name | DISC SURGERY CENTER AT CARLSBAD, LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 6250 EL CAMINO REAL SUITE 101
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City | CARLSBAD
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State | CA
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Zip | 92009-1903
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Country | US
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Telephone | 442-325-0070
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Fax | 442-325-0071
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Provider Business Mailing Address
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Address Line | 3501 JAMBOREE ROAD SUITE 2300
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 949-988-7828
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Fax | 499-887-8289
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Authorized Official
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Title or Position | VP OPERATIONS AND PAYOR MANAGEMENT
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Name | MRS. KAREN REITER
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Credential |
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Telephone | 310-710-4189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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