Organization
RADY CHILDREN'S HOSPITAL - SAN DIEGO
Active
Other names
KidSTART Central
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILSON (EXECUTIVE DIRECTOR)
(858) 966-5814
Entity
Organization
Contact information
Practice address
3665 KEARNY VILLA RD, SUITE 405, SAN DIEGO, CA 92123-1953
(858) 966-5990
(858) 966-7508
Mailing address
3020 CHILDRENS WAY, MC 5134, SAN DIEGO, CA 92123-4223
(858) 966-5990
(858) 966-7508
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
080000028
CA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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