Children'S Associated Medical Group
LBN: Children'S Specialists Of San Diego - Div Of Opth
Children'S Associated Medical Group is an health care organization with primary practice located at 3030 Childrens Way Suite 109, San Diego CA 92123-4232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Children'S Specialists Of San Diego - Div Of Opth can be contacted via phone (858) 309-7701, or through Kimmons, Herbert C. via phone (858) 966-8567.
Contact Information
Primary practice address
3030 Childrens Way Suite 109
San Diego CA 92123-4232
Phone: (858) 309-7701
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 / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1013074590 |
|---|---|
| LBN Legal business name | Children'S Specialists Of San Diego - Div Of Opth |
| 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 16 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 | 1013074590 | NPPES |
| California | MEDICAID | GR0068865 |
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