Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Parent organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Other names
RCHSD - CHILD AND ADOLESCENT PSYCHIATRY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Authorized official
MR. JAMES ULI (SR VP/CFO)
(858) 576-1700
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-8145
Mailing address
3020 CHILDRENS WAY, MC 5018, SAN DIEGO, CA 92123-4223
(858) 966-1700
(858) 966-8470
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
080000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5816515
MEDI-CAL
CA
Enumeration date
06/19/2012
Last updated
01/22/2025
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