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Contact Information

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PATH
3020 CHILDRENS WAY
SAN DIEGO, CA92123-4223
 Phone: 858-966-5944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Pediatric Pathology

207ZP0213X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHILDRENS SPECIALISTS OF SAN DIEGO DIV OF PATH · (Female)

NPI Number 1497812960
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2007
Last updated 04/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR006886E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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