| NPI | 1649369653 |
|---|---|
| Doing Business As | SAN DIEGO CHILDREN'S HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | TIFFANY LYNN KAVANAUGH Office Manager 858-966-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 080000028) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |