RADY CHILDREN'S HOSPITAL SAN DIEGO; NPI #1750458485

Contact Information

RADY CHILDREN'S HOSPITAL SAN DIEGO

8010 FROST ST.
STE 200
SAN DIEGO, CA 92123

Phone: 858-966-5817
Fax: 858-966-8528
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)
Clinical	103TC0700X	62	Psychologist, Clinical

Indicates primary specialty

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

NPI Number 1750458485

LBN Legal business name RADY CHILDREN'S HOSPITAL SAN DIEGO

Authorized official JEFFERY OLSON - (SUPERVISOR DEV SRVS OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/29/2006

Last updated 06/03/2011 - About 15 years ago

Identifiers

CA	License #	080000028
CA	License #	PSY11584

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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RADY CHILDREN'S HOSPITAL SAN DIEGO

Contact Information

Specialty

Children

Clinical

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

Reviews for RADY CHILDREN'S HOSPITAL SAN DIEGO