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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ENDO NPI 1740347210


NPI Information

NPI: 1740347210
Provider Name: CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ENDO

Former Legal Business Name: CHILDREN'S ASSOCIATED MEDICAL GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
8110 BIRMINGHAM WAY
BUILDING 28
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-4032
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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ENDO is a pediatrics in San Diego, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ENDO NPI is 1740347210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Children's Associated Medical Group.

The provider's business location address is:

8110 BIRMINGHAM WAY
BUILDING 28
SAN DIEGO, CA
ZIP 92123-758
Phone: (858) 966-4032

The provider's authorized official is Michael Segall .
The authorized official title is President and has the following contact phone number (858) 576-1700.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes
22080P0205XPediatricsPediatric EndocrinologyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR006886GMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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