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Organization

RADY CHILDREN'S HOSPITAL SAN DIEGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IBY KANTOR PH.D. (DIRECTOR OF CHADWICK CENTER)
(858) 966-5803
Entity
Organization

Contact information

Practice address
3665 KEARNY VILLA RD STE 501, SAN DIEGO, CA 92123-1953
(406) 868-1792
Mailing address
3665 KEARNY VILLA RD STE 501, SAN DIEGO, CA 92123-1953
(406) 868-1792

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary

Other

Enumeration date
08/27/2010
Last updated
01/22/2025
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