Provider Demographics
NPI:1710700927
Name:DISC SURGERY CENTER AT CARLSBAD, LLC
Entity type:Organization
Organization Name:DISC SURGERY CENTER AT CARLSBAD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS AND PAYOR MANAGEMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-710-4189
Mailing Address - Street 1:3501 JAMBOREE ROAD
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-988-7828
Mailing Address - Fax:499-887-8289
Practice Address - Street 1:6250 EL CAMINO REAL
Practice Address - Street 2:SUITE 101
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-1903
Practice Address - Country:US
Practice Address - Phone:442-325-0070
Practice Address - Fax:442-325-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical