Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA KRATZE (DEVELOPMENTAL SERVICES DIRECTOR)
(858) 966-5829
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123-4223
(858) 966-5829
(858) 966-5859
Mailing address
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123-4223
(858) 966-5829
(858) 966-5859
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
PT42714
CA
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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