Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER G ROUX MBA (SR VICE PRESIDENT CFO)
(858) 576-1700
Entity
Organization
Contact information
Practice address
4120 WARING RD, OCEANSIDE, CA 92056-4404
(760) 758-1620
(858) 966-5828
Mailing address
3020 CHILDRENS WAY, MC 5010, SAN DIEGO, CA 92123-4223
(858) 966-5817
(858) 966-5828
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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