CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PED

SAN DIEGO, CA
NPI1700943271
Former Legal Business NameCHILDREN'S ASSOCIATED MEDICAL GROUP
Entity TypeOrganization
Authorized ContactHERBERT C. KIMMONS
President
858-966-8567
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Enumeration Date2007-01-03
Last Update Date2008-04-22
Business Address
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PED
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5841
Mailing Address
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PED
3860 CALLE FORTUNADA SUITE 210
SAN DIEGO, CA 92123-4800
Phone number: 858-309-6303