Children'S Associated Medical Group

LBN: Children'S Specialist Of San Diego - Div Of Derm
Children'S Associated Medical Group is an health care organization with primary practice located at 8010 Frost St Suite 602, San Diego CA 92123-2778. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Dermatology is the primary health care specialty. Children'S Specialist Of San Diego - Div Of Derm can be contacted via phone (858) 966-6795, or through Kimmons, Herbert C. via phone (858) 966-8567.

Contact Information

Primary practice address
8010 Frost St Suite 602 San Diego CA 92123-2778
Fax:
Website:
Authorized official contact:
Name: Kimmons, Herbert C. Doctor of Medicine (MD)

Profile Details

NPI number 1356408934
LBN Legal business name Children'S Specialist Of San Diego - Div Of Derm
DBA Doing business as Children'S Associated Medical Group
Authorized official Kimmons, Herbert C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Apr 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356408934 NPPES
California MEDICAID GR006886A

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