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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PULM NPI 1699832162


NPI Information

NPI: 1699832162
Provider Name: CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PULM

Former Legal Business Name: CHILDREN'S ASSOCIATED MEDICAL GROUP

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
8110 BIRMINGHAM WAY
BUILDING 28
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-5846
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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PULM is a pediatric pulmonology pediatrics in San Diego, CA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF PULM NPI is 1699832162. 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) 966-5846

The provider's authorized official is Herbert C. Kimmons .
The authorized official title is President and has the following contact phone number (858) 966-8567.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 4/22/2008.


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
1208000000XPediatricsNo
22080P0214XPediatricsPediatric PulmonologyYes

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
1GR006886DMEDICAIDCALIFORNIA
2W13774MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP PROV#

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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