# RADY CHILDREN'S HOSPITAL SAN DIEGO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RADY CHILDREN'S HOSPITAL SAN DIEGO
- **Other names:** Rady Children's Convalescent Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114091055
- **Legal business name:** RADY CHILDREN'S HOSPITAL SAN DIEGO
- **Authorized official:** KATHLEEN MARIE CAIN CARRITHERS (SR VP & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (858) 966-5824

## Contact information

- **Practice address:** 3020 CHILDRENS WAY \# MC5019, SAN DIEGO, CA 92123-4223
- **Practice address phone:** (858) 966-5833
- **Practice address fax:** (858) 966-8558
- **Mailing address:** 3020 CHILDRENS WAY \# MC5019, SAN DIEGO, CA 92123-4223
- **Mailing address phone:** (858) 966-5833
- **Mailing address fax:** (858) 966-8558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |
| 3140N1450X | Pediatric Skilled Nursing Facility | 080000028 | CA | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 01/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05270G | — | CA |