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Contact Information

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ENT
3030 CHILDRENS WAY
SUITE 402
SAN DIEGO, CA92123-4232
 Phone: 858-309-7701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

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

NPI Number 1407913973
LBN Legal business name CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ENT
Authorized official HERBERT KIMMONS - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/03/2007
Last updated 04/22/2008 - About 18 years ago
Identifiers
CA Medicaid GR006886F
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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