Rady Children'S Aveley Place

LBN: Rady Children'S Hospital - San Diego
Rady Children'S Aveley Place is an health care organization with primary practice located at 3453 Aveley Pl , San Diego CA 92111-4727. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Rady Children'S Hospital - San Diego can be contacted via phone (858) 541-2646, or through Roux, Roger via phone (858) 576-1700.

Contact Information

Primary practice address
3453 Aveley Pl San Diego CA 92111-4727
Fax: (858) 966-8558
Website:
Authorized official contact:
Name: Roux, Roger

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 090000644 California

Profile Details

NPI number 1780756411
LBN Legal business name Rady Children'S Hospital - San Diego
DBA Doing business as Rady Children'S Aveley Place
Authorized official Roux, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1780756411 NPPES
California MEDICAID LTC80295F

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