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Organization
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF RHEUM
Active
Organization
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF RHEUM
Active
Parent organization
CHILDREN'S SPECIALISTS OF SAN DIEGO
Other names
Children's Associated Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S SPECIALISTS OF SAN DIEGO
Authorized official
HERBERT C. KIMMONS JR. M.D. (PRESIDENT)
(858) 966-8567
Entity
Organization
Contact information
Practice address
8110 BIRMINGHAM WAY, BUILDING 28, SAN DIEGO, CA 92123-2758
(858) 966-8082
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR006886C
—
CA
Enumeration date
01/03/2007
Last updated
04/22/2008
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