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Organization

RADY CHILDREN'S HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARENT MYNDERSE (ADMIN-GENERAL)
(858) 966-5832
Entity
Organization

Contact information

Practice address
3020 CHILDREN'S WAY, SAN DIEGO, CA 92123
(858) 676-1700
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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