Organization
RADY CHILDREN'S HOSPITAL RESEARCH CENTER
Active
Parent organization
RADY CHILDREN'S HEALTH
Other names
Rady Children's Institute for Genomic Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADY CHILDREN'S HEALTH
Authorized official
LYNN PEREZ (SVP, EXECUTIVE DIRECTOR)
(858) 576-1700
Entity
Organization
Contact information
Practice address
7910 FROST ST STE 240, SAN DIEGO, CA 92123-2781
(858) 966-8127
Mailing address
3020 CHILDRENS WAY # MC5129, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDF00350522
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
01/16/2020
Last updated
05/02/2025
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