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Organization
RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY
Active
Organization
RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERAV SEGALL (SOCIAL WORKER I)
(619) 758-5993
Entity
Organization
Contact information
Practice address
3665 KEARNY VILLA RD, 165, SAN DIEGO, CA 92123-1953
(619) 758-5993
Mailing address
1465 C ST, # 3305, SAN DIEGO, CA 92101-5738
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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