OrganizationLa Jolla Observation MedicineEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address9888 Genesee Ave, La Jolla, CA 92037-1205(858) 626-6150(858) 824-6742PECOS EnrollmentBased on the most recent information from CMS, provider La Jolla Observation Medicine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1780122986Provider TypeOrganizationFull NameLa Jolla Observation MedicineSubpartNoEnumeration Date2/7/2017Last Updated1/3/2025Contact InformationPractice LocationPractice Address9888 Genesee Ave, La Jolla, CA 92037-1205Phone(858) 626-6150Fax(626) 623-1227Mailing LocationMailing Address9888 Genesee Ave Ste Lj-105, La Jolla, CA 92037-1205Phone(858) 824-6742Fax(858) 824-7989Authorized OfficialNameCardall, Taylor Y. (Billing Liason)Phone(858) 626-6902Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer