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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
Rady Children's Specialists of San Diego, A Medical Foundation
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Authorized official
DR. PATRICIO FRIAS M.D. (CHIEF EXECUTIVE OFFICER & PRESIDENT)
(858) 966-5911
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5911
Mailing address
3020 CHILDRENS WAY, MC 5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669617197
—
CA
Enumeration date
12/12/2008
Last updated
01/13/2025
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