Children'S Associated Medical Group
LBN: Children'S Specialists Of San Diego - Div Of Id
Children'S Associated Medical Group is an health care organization with primary practice located at 3020 Childrens Way , San Diego CA 92123-4223. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is the primary health care specialty.
Children'S Specialists Of San Diego - Div Of Id can be contacted via phone (858) 966-7785, or through Kimmons, Herbert C. via phone (858) 966-8567.
Contact Information
Primary practice address
3020 Childrens Way
San Diego CA 92123-4223
Phone: (858) 966-7785
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 / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X |
Profile Details
| NPI number | 1275690745 |
|---|---|
| LBN Legal business name | Children'S Specialists Of San Diego - Div Of Id |
| 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 3rd, 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 | 1275690745 | NPPES |
| California | MEDICAID | GR0068868 |
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