Organization
RADY CHILDRENS HOSPITAL SAN DIEGO
Active
Other names
Childrens Hospital San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J ULI (SR VP CFO)
(858) 966-5824
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
(858) 966-1700
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
080000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53125301
—
HI
01
—
53303
BLUE CROSS OF CALIFORNIA
CA
01
—
53303
PINNACLE CLAIMS MGMT.
—
05
—
CGP000355
—
CA
05
—
CGP165365
—
CA
01
—
CHHS
UNIVERSAL (INACTIVE)
—
05
—
HSC30271F
—
CA
05
—
ZZT30271F
—
CA
05
—
ZZT40271F
—
CA
01
—
ZZZH3702Z
BLUE SHIELD
—
Enumeration date
02/12/2007
Last updated
01/28/2025
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