RADY CHILDREN'S HOSPITAL - SAN DIEGO
Nursing Care, Pediatric
San Diego, California
Provider NPI: 1114091055
Organization Information:Organization Name: RADY CHILDREN'S HOSPITAL - SAN DIEGO
Practice Location:
3020 CHILDRENS WAY # MC5019 SAN DIEGO, CA 92123 US
Tel: 858-966-5833 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3020 CHILDRENS WAY # MC5019 SAN DIEGO, CA 92123 US
Tel: 858-966-5833 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | CA | 080000028 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ZZT05270G | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin