Organization · Type 2 NPI

Rady's Children's Hospital Outpatient Psychiatry

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1083992580 Active

Practice location

3665 Kearny Villa Rd, 165
San Diego, CA 92123-1953

Mailing address

1465 C St, # 3305
San Diego, CA 92101-5738

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1083992580

Rady's Children's Hospital Outpatient Psychiatry's National Provider Identifier is 1083992580, issued on Aug 1, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Aug 1, 2011.