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
Phone: (858) 966-6795
Fax:
Website:
Authorized official contact:
Name: Kimmons, Herbert C. Doctor of Medicine (MD)
Phone: (858) 966-8567
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356408934 | NPPES |
| California | MEDICAID | GR006886A |
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