# RADY CHILDRENS HOSPITAL SAN DIEGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rady Childrens Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508261736
- **Authorized official:** MR. ROGER G ROUX (SR. VP/CFO)
- **Authorized official phone:** (858) 966-5824

## Contact information

- **Practice address:** 3665 KEARNY VILLA RD STE 440, SAN DIEGO, CA 92123-1953
- **Practice address phone:** (858) 966-1700
- **Mailing address:** 3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
- **Mailing address phone:** (858) 966-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 01/22/2025