Children's Specialists of San Diego - Div of Opth

NPI #1013074590 in San Diego, California

Provider Information

NPI Number: 1013074590
Entity Type: Organization
Organization Name: Children's Specialists of San Diego - Div of Opth
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN'S SPECIALISTS OF SAN DIEGO
Primary Specialty: Ophthalmology
Enumeration Date: Jan 3, 2007
Last Updated: Apr 22, 2008

Practice Location

Address: 3030 CHILDRENS WAY
Address 2: SUITE 109
City: San Diego
State: California
ZIP Code: 92123-4232
Phone: (858) 309-7701

Authorized Official

Name: HERBERT C. KIMMONS JR., M.D.
Title: PRESIDENT
Phone: (858) 966-8567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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