NPI 1205053956

Rady Childrens Hospital of San Diego

Organisation Case Management Agency Oceanside, CA

Practice location

Address: 3142 Vista Way, Oceanside, CA 92056-3619
Phone: (760) 967-7082
Mailing address: 1659 Countryside Dr, Vista, CA 92081-8725

Authorised official

Name: Virginia Agcayab
Title: Site Coordinator
Phone: (760) 967-7082

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1205053956
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.