Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Other names
Children's 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) 966-4962
Mailing address
3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
(858) 966-4962
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
080000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053303
WESTERN GROWERS
CA
05
—
53125301
—
HI
05
—
CGP000355
—
CA
05
—
CGP165365
—
CA
05
—
HSC30271F
—
CA
05
—
ZZT30271F
—
CA
05
—
ZZT40271F
—
CA
01
—
ZZZH3702Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/13/2006
Last updated
01/28/2025
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