La Jolla Orthopaedic Surgery Center LP
Clinic/Center, Ambulatory Surgical in La Jolla, CA. Organization (NPI-2).
NPI number1972503233
StatusActive
Last updated in NPPESMar 2, 2015
Details
- NPI
- 1972503233
- Entity type
- Organization (NPI-2)
- Legal business name
- La Jolla Orthopaedic Surgery Center LP
- Organization subpart
- No
- Enumeration date
- Jul 28, 2005
- Last updated
- Mar 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 080000653 | CA | Yes |
Other names
- Orthopaedic Surgery Center Of La Jolla (Doing Business As)
Practice location
4120 La Jolla Village DrLa Jolla, CA 92037-1406
Phone 858-657-0055 · Fax 858-657-0066
Mailing address
4120 La Jolla Village DrLa Jolla, CA 92037-1406
Phone 858-657-0055 · Fax 858-657-0066
Authorized official
Jenna Pon Kirkpatrick
Administrator
8586570055
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