Organization · Type 2 NPI

Children's Specialists of San Diego - Div of Hem&onc

Pediatric Hematology & Oncology Physician · San Diego, CA

NPI number 1649337114 Active

Practice location

8001 Frost St, Entrance 10
San Diego, CA 92123-2746

Call (858) 966-5811 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 Hematology & Oncology Physician Primary	2080P0207X	None listed

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

33 other providers at this address

NPI record

NPI: 1649337114
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 1649337114

Children's Specialists of San Diego - Div of Hem&onc's National Provider Identifier is 1649337114, issued on Jan 3, 2007. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in San Diego, CA. The record was last updated on Apr 22, 2008.