| Ucsd Children/adolescent Psychiatry Services | |
|
6535 Alvarado Rd San Diego CA 92120-5002 | |
| (619) 543-6308 | |
| (619) 543-3004 |
| Full Name | Ucsd Children/adolescent Psychiatry Services |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 6535 Alvarado Rd, San Diego, California |
| Authorized Official Name and Position | Lori R Donaldson (CFO) |
| Authorized Official Contact | 6195436060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsd Children/adolescent Psychiatry Services File 55663 Los Angeles CA 90074-5663 Ph: (619) 543-6308 | Ucsd Children/adolescent Psychiatry Services 6535 Alvarado Rd San Diego CA 92120-5002 Ph: (619) 543-6308 |
| NPI Number | 1548426687 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 04/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548426687 | NPI | - | NPPES |
| HSM30025F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 090000101 (California) | Secondary |
| 283Q00000X | Psychiatric Hospital | 090000101 (California) | Primary |
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