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Organization
RADY CHILDRENS HOSPITAL SAN DIEGO
Active
Organization
RADY CHILDRENS HOSPITAL SAN DIEGO
Active
Other names
Childrens Hospital San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J ULI (SR VP CFO)
(858) 966-5824
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
(858) 966-1700
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
080000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53125301
—
HI
01
—
53303
BLUE CROSS OF CALIFORNIA
CA
01
—
53303
PINNACLE CLAIMS MGMT.
—
05
—
CGP000355
—
CA
05
—
CGP165365
—
CA
01
—
CHHS
UNIVERSAL (INACTIVE)
—
05
—
HSC30271F
—
CA
05
—
ZZT30271F
—
CA
05
—
ZZT40271F
—
CA
01
—
ZZZH3702Z
BLUE SHIELD
—
Enumeration date
02/12/2007
Last updated
01/28/2025
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