Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Other names
Rady Children's Aveley Place
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ULI (CHIEF FINANCIAL OFFICER)
(858) 576-1700
Entity
Organization
Contact information
Practice address
3453 AVELEY PL, SAN DIEGO, CA 92111-4727
(858) 541-2646
(858) 966-8558
Mailing address
8022 BIRMINGHAM DR, SAN DIEGO, CA 92123-2707
(858) 966-5833
(858) 966-8558
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
090000644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80295F
—
CA
Enumeration date
11/15/2006
Last updated
01/22/2025
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