| Rady Children's Hospital | |
|
3020 Childrens Way Mc 5014 San Diego CA 92123-4223 | |
| (858) 966-4011 | |
| (858) 278-2365 |
| Full Name | Rady Children's Hospital |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3020 Childrens Way, San Diego, California |
| Authorized Official Name and Position | Charles Wilson (DIRECTOR) |
| Authorized Official Contact | 8585761700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rady Children's Hospital 3020 Children's Way Mc 5014 San Diego CA 92123-4282 Ph: (858) 966-4011 | Rady Children's Hospital 3020 Childrens Way Mc 5014 San Diego CA 92123-4223 Ph: (858) 966-4011 |
| NPI Number | 1033235718 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033235718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 14677 (California) | Primary |
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