| Rady Children's Hospital-san Diego | |
|
3665 Kearny Villa Rd Suite 165 San Diego CA 92123-1953 | |
| (858) 966-5832 | |
| (858) 966-8470 |
| Full Name | Rady Children's Hospital-san Diego |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3665 Kearny Villa Rd, San Diego, California |
| Authorized Official Name and Position | Roger G Roux (SR VICE PRESIDENT CFO) |
| Authorized Official Contact | 8585761700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rady Children's Hospital-san Diego 3020 Childrens Way Mc 5018 San Diego CA 92123-4223 Ph: (858) 576-1700 | Rady Children's Hospital-san Diego 3665 Kearny Villa Rd Suite 165 San Diego CA 92123-1953 Ph: (858) 966-5832 |
| NPI Number | 1760519854 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760519854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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