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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF URO NPI 1932266418


NPI Information

NPI: 1932266418
Provider Name: CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF URO

Former Legal Business Name: CHILDREN'S ASSOCIATED MEDICAL GROUP

Classification: Urology - 208800000X
Entity Type: Organization
Address:
3020 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123
Phone: (858) 279-8527
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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF URO is an urology in San Diego, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF URO NPI is 1932266418. 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:

3020 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123-223
Phone: (858) 279-8527

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
1208800000XUrologyYes

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
1W13774MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP PROV#
2GR006886MMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDI-CAL 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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