National Provider Identifier Database

CHILDRENS SPECIALISTS OF SAN DIEGO DIV OF NEPH
Pediatric Nephrology

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.


Contact Information

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF NEPH
8110 BIRMINGHAM WAY
BUILDING 28
SAN DIEGO, CA92123-2758
Phone: 858-966-8052
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Nephrology 2080P0210X
Pediatrics 208000000X

* Indicates primary specialty

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

NPI Number 1538226006
Legal business name
LBN
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF NEPH
Authorized official HERBERT KIMMONS - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 01/03/2007
Last updated 04/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0068869

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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