RADY CHILDREN'S HOSPITAL SAN DIEGO

SAN DIEGO, CA
NPI1750458485
Other NameDEVELOPMENTAL EVALUATION CLINCI
Entity TypeOrganization
Authorized ContactJEFFERY R. OLSON
Supervisor Dev Srvs Operations
858-966-5416
Organization Subpart ?No
Primary Taxonomy282NC2000X General Acute Care Hospital, Children
(Licence: CA  080000028)
Additional Taxonomies103TC0700X Psychologist, Clinical
282NC2000X General Acute Care Hospital, Children
(Licence: CA  PSY11584)
Enumeration Date2006-11-29
Last Update Date2011-06-03
Business Address
RADY CHILDREN'S HOSPITAL SAN DIEGO
8010 FROST ST. STE 200
SAN DIEGO, CA 92123
Phone number: 858-966-5817
Mailing Address
RADY CHILDREN'S HOSPITAL SAN DIEGO
3020 CHILDRENS WAY MC5023
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5817