CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF URO

SAN DIEGO, CA
NPI1932266418
Former Legal Business NameCHILDREN'S ASSOCIATED MEDICAL GROUP
Entity TypeOrganization
Authorized ContactHERBERT C. KIMMONS
President
858-966-8567
Organization Subpart ?Yes
Primary Taxonomy208800000X Urology
Enumeration Date2007-01-03
Last Update Date2008-04-22
Business Address
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF URO
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-279-8527
Mailing Address
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF URO
3860 CALLE FORTUNADA SUITE 210
SAN DIEGO, CA 92123-4800
Phone number: 858-309-6303