institution
Rady Children's Hospital - San Diego
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Diego, California
NPI 1851303994

Rady Children's Hospital - San Diego is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in San Diego, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Rady Children's Hospital - San Diego practices in San Diego, CA. The NPI Number for Rady Children's Hospital - San Diego is 1851303994 and holds a License No. 080000028 (California).

The current practice location address for Rady Children's Hospital - San Diego is 3020 Childrens Way, San Diego, CA and can be reached out via phone at 858-966-4962.

Location: 3020 Childrens Way, San Diego, CA, 92123-4223
institution
Provider Profile Details
NPI Number
1851303994
Provider Name
Rady Children's Hospital - San Diego
Credential
Provider Entity Type
Organization
Address
3020 Childrens Way, San Diego, CA, 92123-4223
Phone Number
858-966-4962
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
053303 01 CA BLUE CROSS OF CALIFORNIA
053303 01 CA GIC INDEMNITY PLAN
053303 01 CA PINNACLE CLAIMS MANAGEMENT
53125301 05 HI
CGP165365 05 CA
HSC30271F 05 CA
053303 01 CA WESTERN GROWERS
CGP000355 05 CA
ZZT30271F 05 CA
ZZT40271F 05 CA
ZZZH3702Z 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
3020 Childrens Way
City
State
Zip
92123-4223
Phone Number
858-966-4962
Fax Number
person
Provider Business Mailing Address Details
Address
3020 Childrens Way
City
State
Zip
92123-4223
Phone Number
858-966-4962
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
080000028 (California)
Definition
Definition to come...
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