Organization
RADY CHILDREN'S HOSPITAL - SAN DIEGO
Active
Parent organization
RADY CHILDREN'S HOSPITAL - SAN DIEGO
Other names
Rady Children's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADY CHILDREN'S HOSPITAL - SAN DIEGO
Authorized official
KATHY MARIE CAIN CARRITHERS (SR. VP & CHIEF FINANCIAL OFFICER)
(858) 576-1700
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY # MC5019, SAN DIEGO, CA 92123-4223
(858) 576-5833
(858) 576-8558
Mailing address
3020 CHILDRENS WAY # MC5019, SAN DIEGO, CA 92123-4223
(858) 576-5833
(858) 576-8558
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
—
LTC40009F
—
CA
Enumeration date
11/22/2006
Last updated
12/04/2018
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