Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARENT MYNDERSE (SUPERVISOR)
(858) 966-5832
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
101YM0800X
CA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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