Organization · Type 2 NPI

Children's Specialists of San Diego - Div of Surg

Pediatric Surgery Physician · San Diego, CA

NPI number 1144387614 Active

Practice location

8010 Frost St, Suite 414
San Diego, CA 92123-2778

Call (858) 966-7711 Map

Mailing address

3860 Calle Fortunada, Suite 210
San Diego, CA 92123-4800

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	None listed
Pediatric Surgery Physician Primary	2086S0120X	None listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

63 other providers at this address

NPI record

NPI: 1144387614
Entity type: Organization (Type 2)
Issued: Jan 3, 2007
Last updated: Apr 22, 2008
Status: Active
Subpart: Yes of Children's Specialists of San Diego

Other names

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Children's Associated Medical Group · former legal business name

Authorized official

Herbert C. Kimmons, MD
President
(858) 966-8567

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144387614

Children's Specialists of San Diego - Div of Surg's National Provider Identifier is 1144387614, issued on Jan 3, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in San Diego, CA. The record was last updated on Apr 22, 2008.