CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF GASTRO

SAN DIEGO, CA
NPI1912064486
Former Legal Business NameCHILDREN'S ASSOCIATED MEDICAL GROUP
Entity TypeOrganization
Authorized ContactHERBERT C. KIMMONS
President
858-966-8567
Organization Subpart ?Yes
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
Additional Taxonomies208000000X Pediatrics
Enumeration Date2007-01-03
Last Update Date2008-04-22
Business Address
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF GASTRO
8110 BIRMINGHAM WAY BUILDING 28
SAN DIEGO, CA 92123-2758
Phone number: 858-966-4003
Mailing Address
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF GASTRO
3860 CALLE FORTUNADA SUITE 210
SAN DIEGO, CA 92123-4800
Phone number: 858-309-6303