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Organization
RADY CHILDRENS HOSPITAL OF SAN DIEGO
Active
Organization
RADY CHILDRENS HOSPITAL OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA AGCAYAB MFT (SITE COORDINATOR)
(760) 967-7082
Entity
Organization
Contact information
Practice address
3142 VISTA WAY, OCEANSIDE, CA 92056-3619
(760) 967-7082
Mailing address
1659 COUNTRYSIDE DR, VISTA, CA 92081-8725
(760) 734-1629
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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