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NPI Code Detail

MEDICARE: RADY CHILDREN'S HOSPITAL SAN DIEGO

MEDICARE: RADY CHILDREN'S HOSPITAL SAN DIEGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273R00000XPsychiatric Hospital Unit

General Provider Information

NPI Number : 1356477806
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADY CHILDREN'S HOSPITAL SAN DIEGO
Provider Business Mailing Address
First Line : 3020 CHILDRENS WAY
Second Line : MC 5018
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-576-1700
Fax Number :
Provider Business Practice Location Address
First Line : 5650 MOUNT ACKERLY DR
Second Line : MENTAL HEALTH
City : SAN DIEGO
State : CA
Zip : 92111-4016
Country : US
Telephone Number : 858-496-8205
Fax Number :
Authorized Official
Title or Position : SR VICE PRESIDENT CFO
Name : MR. JAMES J ULI
Credential :
Telephone Number : 858-576-1700
Provider Enumeration Date : 02/26/2007
Last Update Date : 01/30/2025

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Practice Location Address:
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1518017375 — SARAH COWLES SHARBAUGH DELCREW MA
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Practice Fax:
1851437578 — MS. JENNIFER MAE BOYEA M.A., LMFT
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1992820195 — SAN DIEGO UNIFIED SCHOOL DISTRICT
Practice Location Address:
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Directions to “RADY CHILDREN'S HOSPITAL SAN DIEGO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.