| San Ysidro Health Children's Dental Center At Rady Children's Hospital | |
|
8110 Birmingham Way San Diego CA 92123 | |
| (619) 662-4100 | |
| (619) 205-6373 |
| Full Name | San Ysidro Health Children's Dental Center At Rady Children's Hospital |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8110 Birmingham Way, San Diego, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT AND CEO) |
| Authorized Official Contact | 6196624100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Ysidro Health Children's Dental Center At Rady Children's Hospital 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | San Ysidro Health Children's Dental Center At Rady Children's Hospital 8110 Birmingham Way San Diego CA 92123 Ph: (619) 662-4100 |
| NPI Number | 1477730737 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477730737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 550000692 (California) | Primary |
Robert Selis Dds.inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3530 Camino Del Rio N, 109, San Diego, CA 92108 Phone: 619-283-2093 | |
Elmira Khodapanah Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Camino Del Rio S Ste 140, San Diego, CA 92108 Phone: 619-574-1810 Fax: 619-574-1326 | |
Roya Mirkhan,dmd,msd,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12395 El Camino Real, Suite Number 314, San Diego, CA 92130 Phone: 858-337-6264 Fax: 858-755-6260 | |
Reesor Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11968 Bernardo Plaza Dr, San Diego, CA 92128 Phone: 858-521-0000 | |
Dr. Hoss, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11943 El Camino Real Ste 200, San Diego, CA 92130 Phone: 858-336-8478 | |
Doan Doan And Tran Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7825 Engineer Rd Ste 111, San Diego, CA 92111 Phone: 858-279-1004 Fax: 858-268-1004 | |
Sia-zol, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9330 Mira Mesa Blvd Ste F, San Diego, CA 92126 Phone: 858-536-7005 Fax: 858-536-7006 |