Organization
RADY CHILDRENS HOSPITAL OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA AGCAYAB MFT (SITE COORDINATOR)
(760) 967-7082
Entity
Organization
Contact information
Practice address
3142 VISTA WAY, OCEANSIDE, CA 92056-3619
(760) 967-7082
Mailing address
1659 COUNTRYSIDE DR, VISTA, CA 92081-8725
(760) 734-1629
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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