La Jolla Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

B2005004775 Issued in CA

Legal business name

LA JOLLA SURGERY CENTER

Practice address

4510 Executive Dr Ste 200a
San Diego, CA 92121-3023

Phone

(858) 453-7224

NPI assigned

Dec 23, 2010

Last updated

Dec 23, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Porter

Title

Office Manager

Phone

(858) 453-7224

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1538463153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 200A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213023",
            "telephone_number": "858-453-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 200A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213023",
            "telephone_number": "858-453-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-453-7224"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "B2005004775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Jolla Recovery Inc
• La Jolla Recovery Inc
• La Jolla Rehab LLC
• La Jolla Skilled LLC (The Springs at Pacific Regent La Jolla)
• La Jolla Spine Institute Medical Group, Inc. (Spine Institute of San Diego)
• Luis A La Luz, MD
• Anthony La Madrid
• Juliana La Madrid, BSW
• La Maestra Family Clinic (La Maestra Community Health Centers)
• La Maestra Family Clinic (La Maestra Family Community Health Centers)

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.