Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA ONTIVEROS (CHILD &FAMILY SPECIALIST)
(619) 420-5611
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(619) 420-5611
Mailing address
222 MONTGOMERY ST, CHULA VISTA, CA 91911-5839
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
01/22/2025
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