Organization
SAN DIEGO COUNTY POLINSKY CHILDRENS CENTER
Active
Organization
SAN DIEGO COUNTY POLINSKY CHILDRENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DEITZ RN (ADMINISTRATOR)
(858) 966-4941
Entity
Organization
Contact information
Practice address
9400 RUFFIN CT, BUILDING B, SAN DIEGO, CA 92123-5300
(858) 966-4941
Mailing address
3020 CHILDRENS WAY, MC5036, SAN DIEGO, CA 92123-4223
(858) 966-4941
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70469F
—
CA
Enumeration date
12/08/2006
Last updated
08/22/2020
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