Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Parent organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Other names
Rady Children's Convalescent Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Authorized official
KATHLEEN MARIE CAIN CARRITHERS (SR VP & CHIEF FINANCIAL OFFICER)
(858) 966-5824
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY # MC5019, SAN DIEGO, CA 92123-4223
(858) 966-5833
(858) 966-8558
Mailing address
3020 CHILDRENS WAY # MC5019, SAN DIEGO, CA 92123-4223
(858) 966-5833
(858) 966-8558
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
080000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05270G
—
CA
Enumeration date
11/20/2006
Last updated
01/22/2025
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