Organization · Type 2 NPI

Children's Specialists of San Diego - Div of Rheum

Pediatric Rheumatology Physician · San Diego, CA

NPI number 1417014986 Active

Practice location

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

Call (858) 966-8082 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	None listed
Pediatric Rheumatology Physician Primary	2080P0216X	None listed

Pediatric Rheumatology Physician: A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

70 other providers at this address

NPI record

NPI: 1417014986
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 1417014986

Children's Specialists of San Diego - Div of Rheum's National Provider Identifier is 1417014986, issued on Jan 3, 2007. The primary taxonomy on file is Pediatric Rheumatology Physician (2080P0216X), and the practice location is in San Diego, CA. The record was last updated on Apr 22, 2008.