Organization
RADY CHILDRENS HOSPITAL SAN DIEGO
Active
Other names
Rady Childrens Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER G ROUX (SR. VP/CFO)
(858) 966-5824
Entity
Organization
Contact information
Practice address
3665 KEARNY VILLA RD STE 440, SAN DIEGO, CA 92123-1953
(858) 966-1700
Mailing address
3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
(858) 966-1700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
01/22/2025
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