Organization
RADY CHILDREN'S OUTPATIENT PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA HAZLEWOOD PH.D (CLINICAL PSYCHOLOGIST)
(858) 487-9050
Entity
Organization
Contact information
Practice address
3559 INDIANA ST APT 8, SAN DIEGO, CA 92103-5244
(619) 851-4201
Mailing address
3559 INDIANA ST APT 8, SAN DIEGO, CA 92103-5244
(619) 851-4201
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
CA
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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