Organization
RADY CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA M ZHEREBTSOV MD (PHYSICIAN)
(858) 966-4003
Entity
Organization
Contact information
Practice address
200 W ARBOR DR # MC8450, SAN DIEGO, CA 92103-9001
(858) 966-4003
Mailing address
200 W ARBOR DR # MC8450, SAN DIEGO, CA 92103-9001
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
A103185
CA
282NC2000X
Children's Hospital
Primary
A103185
CA
Other
Enumeration date
01/01/2009
Last updated
01/01/2009
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