Provider Demographics
NPI:1770799108
Name:RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
Entity type:Organization
Organization Name:RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR RN (CCP)
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:619-420-5611
Mailing Address - Street 1:9127 TOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2521
Mailing Address - Country:US
Mailing Address - Phone:858-538-9830
Mailing Address - Fax:
Practice Address - Street 1:3020 CHILDRENS WAY
Practice Address - Street 2:MC 6013
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:619-420-6511
Practice Address - Fax:619-420-5531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533097282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren