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Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Parent organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Other names
Developmental Evaluation Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Authorized official
VIRGINIA DILLON BIAL LCSW (PROGRAM MANAGER)
(858) 576-1700
Entity
Organization
Contact information
Practice address
3665 KEARNY VILLA RD, SUITE 440, SAN DIEGO, CA 92123-1953
(858) 966-1700
(858) 966-7803
Mailing address
3020 CHILDRENS WAY, MC 5023, SAN DIEGO, CA 92123-4223
(858) 966-1700
(858) 966-7803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
273R00000X
Psychiatric Hospital Unit
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
05/21/2007
Last updated
01/22/2025
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