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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 Eval Clinic - Torrey Hills Satellite
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
11752 EL CAMINO REAL, SUITE 100, SAN DIEGO, CA 92130-2050
(858) 793-9591
(858) 793-0431
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
—
—
282N00000X
General Acute Care Hospital
080000028
CA
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
05/18/2011
Last updated
01/22/2025
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