RADY CHILDREN'S OUTPATIENT PSYCHIATRY; NPI #1760575963

Contact Information

RADY CHILDREN'S OUTPATIENT PSYCHIATRY

3559 INDIANA ST APT 8
SAN DIEGO, CA 92103-5244

Phone: 619-851-4201
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for RADY CHILDREN'S OUTPATIENT PSYCHIATRY

NPI Number	`1760575963`
LBN Legal business name	RADY CHILDREN'S OUTPATIENT PSYCHIATRY
Authorized official	LISA HAZLEWOOD - (CLINICAL PSYCHOLOGIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/02/2006
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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