<Unavail>

LBN: Children'S Specialists Of San Diego - Div Of Opth
<Unavail> 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:
Map and Directions
Authorized official contact:
Name: Kimmons, Herbert C. Doctor of Medicine (MD)
Phone: (858) 966-8567

Health care specialties

SpecialtyCodeLicense #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 <Unavail>
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 18 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 1013074590 NPPES
California MEDICAID GR0068865

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