Provider Demographics
NPI:1992891030
Name:RADY CHILDREN'S HOSPITAL & HEALTH CENTER
Entity type:Organization
Organization Name:RADY CHILDREN'S HOSPITAL & HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PROGRAM COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:760-758-1480
Mailing Address - Street 1:3605 VISTA WAY
Mailing Address - Street 2:SUITE 258
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3619
Mailing Address - Country:US
Mailing Address - Phone:760-758-1480
Mailing Address - Fax:760-435-9472
Practice Address - Street 1:3605 VISTA WAY
Practice Address - Street 2:SUITE 258
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-3619
Practice Address - Country:US
Practice Address - Phone:760-758-1480
Practice Address - Fax:760-435-9472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC12569106H00000X, 282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No282NC2000XHospitalsGeneral Acute Care HospitalChildrenGroup - Single Specialty