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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 CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PATH

NPI Number 1497812960
LBN Legal business name CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PATH
Authorized official HERBERT KIMMONS - (CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/03/2007
Last updated 04/22/2008 - About 18 years ago
Identifiers
CA Medicaid GR006886E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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