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General NPI Number Information
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NPI Number | 1740347210
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Entity Type | Organization
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Legal Business Name | CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ENDO
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8110 BIRMINGHAM WAY BUILDING 28
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City | SAN DIEGO
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State | CA
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Zip | 92123-2758
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Country | US
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Telephone | 858-966-4032
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Fax |
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Provider Business Mailing Address
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Address Line | 3860 CALLE FORTUNADA SUITE 210
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City | SAN DIEGO
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State | CA
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Zip | 92123-4800
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Country | US
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Telephone | 858-309-6303
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Fax | 858-309-6301
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL SEGALL
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Credential | M.D.
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Telephone | 858-576-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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