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Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Other names
Rady Children's HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ULI (CHIEF FINANCIAL OFFICER)
(858) 576-1700
Entity
Organization
Contact information
Practice address
8291 AERO PL, SUITE 130, SAN DIEGO, CA 92123-2040
(858) 966-4941
(858) 966-8996
Mailing address
3020 CHILDRENS WAY, MC 5036, SAN DIEGO, CA 92123-4223
(858) 966-4941
(858) 966-8996
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
080000415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHAO7875F
—
CA
01
—
ZZZ00279Z
BLUE SHIELD HHA DME
CA
01
—
ZZZ24987Z
BLUE SHIELD HHA
CA
Enumeration date
10/27/2006
Last updated
01/22/2025
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