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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ALL&IMM NPI 1780741462


NPI Information

NPI: 1780741462
Provider Name: CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ALL&IMM

Former Legal Business Name: CHILDREN'S ASSOCIATED MEDICAL GROUP

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
8110 BIRMINGHAM WAY
BUILDING 28
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-5961
Get Directions

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ALL&IMM is an allergy immunology in San Diego, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF ALL&IMM NPI is 1780741462. 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) 966-5961

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 1/2/2007 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
2207K00000XAllergy & ImmunologyYes

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
1GR0068862MEDICAIDCALIFORNIA
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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