RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY is a student in an organized health care education training program in San Diego, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY NPI is 1083992580. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3665 KEARNY VILLA RD
165
SAN DIEGO, CA
ZIP 92123-953
Phone: (619) 758-5993
The provider's authorized official is Merav Segall .
The authorized official title is Social Worker I and has the following contact phone number (619) 758-5993.
The enumeration date for this NPI number is 8/1/2011 and was last updated on 8/1/2011.