Provider Demographics
NPI:1235917881
Name:SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC.
Entity Type:Organization
Organization Name:SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KESWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-678-7711
Mailing Address - Street 1:10010 CAMPUS POINT DR # 305
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1518
Mailing Address - Country:US
Mailing Address - Phone:619-609-6095
Mailing Address - Fax:
Practice Address - Street 1:5535 MOREHOUSE DR. BLDG S
Practice Address - Street 2:SUITE 270
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121
Practice Address - Country:US
Practice Address - Phone:858-678-7226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care