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Organization
RADY CHILREN'S HOSPITAL SAN DIEGO
Active
Organization
RADY CHILREN'S HOSPITAL SAN DIEGO
Active
Other names
Rady Children's Hospital - Grossmont Peds Subacute
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ULI (SR. V.P./CFO)
(858) 576-1700
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4854
(858) 966-8558
Mailing address
8022 BIRMINGHAM DR, SAN DIEGO, CA 92123-2707
(858) 966-5833
(858) 966-8558
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
080000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053303
MEDICARE
CA
Enumeration date
10/13/2011
Last updated
01/30/2025
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