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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