National Provider Identifier Database

RADY CHILDRENS HOSPITALCHIDRENS SAN DIEGO
Children


Contact Information

RADY CHILDREN'S HOSPITAL/CHIDREN'S SAN DIEGO
3020 CHILDRENS WAY
MC 5075
SAN DIEGO, CA92123-4223
Phone: 858-966-8036
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for RADY CHILDREN'S HOSPITAL/CHIDREN'S SAN DIEGO

NPI Number 1679701635
Legal business name
LBN
RADY CHILDREN'S HOSPITAL/CHIDREN'S SAN DIEGO
Authorized official PAUL ISHIMINE - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/30/2009
Last updated 06/30/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A108312

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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