MEDICARE: SCRIPPS HEALTH

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
1	291U00000X	Clinical Medical Laboratory	CLF 335331	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720279805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCRIPPS HEALTH

Provider Business Mailing Address
First Line	:	10790 RANCHO BERNARDO RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-5705
Country	:	US
Telephone Number	:	858-554-9610
Fax Number	:

Provider Business Practice Location Address
First Line	:	9535 WAPLES ST
Second Line	:	SUITE 150
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2953
Country	:	US
Telephone Number	:	858-554-9610
Fax Number	:

Authorized Official
Title or Position	:	LABORATORY DIRECTOR
Name	:	DR. MICHAEL QUIGLEY
Credential	:	M.D.
Telephone Number	:	858-487-1800

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	03/16/2022

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Directions to “SCRIPPS HEALTH ” Practice Location

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