Organization
UCSD DEPARTMENT OF PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. KENNETH LYONS JONES M.D. (DIVISION CHIEF)
(858) 246-1738
Entity
Organization
Contact information
Practice address
7910 FORST ST, SUITE 100, SAN DIEGO, CA 92123
(858) 246-1738
(858) 246-1793
Mailing address
5531 LADYBIRD LN, LA JOLLA, CA 92037-7721
(858) 761-1308
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
SFP000030
CA
Other
Enumeration date
07/31/2015
Last updated
08/03/2015
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