Organization
RADY CHILDREN'S HOSPITAL/CHIDREN'S SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ISHIMINE MD (PROGRAM DIRECTOR)
(858) 966-8036
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, MC 5075, SAN DIEGO, CA 92123-4223
(858) 966-8036
Mailing address
3020 CHILDRENS WAY, MC 5075, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
A108312
CA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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