Organization · Type 2 NPI

Children's Specialists of San Diego - Div of Gen

Clinical Genetics (M.D.) Physician · San Diego, CA

NPI number 1275690877 Active

Practice location

8110 Birmingham Way, Building 28
San Diego, CA 92123-2758

Call (858) 966-5840 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinical Genetics (M.D.) Physician Primary	207SG0201X	None listed
Clinical Biochemical Genetics Physician	207SG0202X	None listed
Clinical Molecular Genetics Physician	207SG0203X	None listed

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

70 other providers at this address

NPI record

NPI: 1275690877
Entity type: Organization (Type 2)
Issued: Jan 2, 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 1275690877

Children's Specialists of San Diego - Div of Gen's National Provider Identifier is 1275690877, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in San Diego, CA. The record was last updated on Apr 22, 2008.