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Organization
RADY CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY
Active
Organization
RADY CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA HAZLEWOOD PH.D. (SITE COORDINATOR)
(858) 487-9050
Entity
Organization
Contact information
Practice address
625 W CITRACADO PKWY, SUITE 102, ESCONDIDO, CA 92025-6479
(760) 294-9270
(760) 294-9268
Mailing address
625 W CITRACADO PKWY, SUITE 102, ESCONDIDO, CA 92025-6479
(760) 294-9270
(760) 294-9268
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MFC 31074
CA
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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