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Contact Information

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF EMER
3020 CHILDRENS WAY
SAN DIEGO, CA92123-4223
 Phone: 858-966-8800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF EMER

NPI Number 1841353836
LBN Legal business name CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF EMER
Authorized official HERBERT KIMMONS - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/19/2006
Last updated 04/22/2008 - About 18 years ago
Identifiers
CA Medicaid GR0068864
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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