| Scripps Psychiatric Medical Group | |
|
4077 Fifth Ave Scripps Mercy Hospital San Diego CA 92103-2105 | |
| (619) 359-6600 | |
| (619) 632-5736 |
| Full Name | Scripps Psychiatric Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4077 Fifth Ave, San Diego, California |
| Authorized Official Name and Position | Laurance Davis Cracroft (PRESIDENT) |
| Authorized Official Contact | 6193596600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scripps Psychiatric Medical Group 550 Washington St Ste 841 San Diego CA 92103-2232 Ph: (619) 359-6600 | Scripps Psychiatric Medical Group 4077 Fifth Ave Scripps Mercy Hospital San Diego CA 92103-2105 Ph: (619) 359-6600 |
| NPI Number | 1477908507 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477908507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G28587 (California) | Primary |
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