Organization · Type 2 NPI

Children's Specialists of San Diego - Div of NS

Neurological Surgery Physician · San Diego, CA

NPI number 1396802872 Active

Practice location

8010 Frost St, Suite 502
San Diego, CA 92123-2778

Call (858) 966-8574 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Neurological Surgery Physician Primary	207T00000X	None listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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NPI record

NPI: 1396802872
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

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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 1396802872

Children's Specialists of San Diego - Div of NS's National Provider Identifier is 1396802872, issued on Jan 3, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in San Diego, CA. The record was last updated on Apr 22, 2008.