Rady Children's Hospital Outpatient Psychiatry | |
625 W Citracado Pkwy Suite 102 Escondido CA 92025-6479 | |
(760) 294-9270 | |
(760) 294-9268 |
Full Name | Rady Children's Hospital Outpatient Psychiatry |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 625 W Citracado Pkwy, Escondido, California |
Authorized Official Name and Position | Lisa Hazlewood (SITE COORDINATOR) |
Authorized Official Contact | 8584879050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rady Children's Hospital Outpatient Psychiatry 625 W Citracado Pkwy Suite 102 Escondido CA 92025-6479 Ph: (760) 294-9270 | Rady Children's Hospital Outpatient Psychiatry 625 W Citracado Pkwy Suite 102 Escondido CA 92025-6479 Ph: (760) 294-9270 |
NPI Number | 1932223500 |
---|---|
Provider Enumeration Date | 03/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932223500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | MFC 31074 (California) | Primary |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-5000 | |
Milestones Children's Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 S Escondido Blvd Ste A, Escondido, CA 92025 Phone: 760-740-0055 | |