Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Rady Children's Hospital San Diego

Organization Clinical Psychologist · NPI 1649563065

Rady Children's Hospital San Diego provides Clinical Psychologist services in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

11752 El Camino Real Ste 100
San Diego, CA 92130-2050
Phone: (858) 793-9591
Fax: (858) 793-0431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Clinical Psychologist Taxonomy 103TC0700X
General Acute Care Hospital Taxonomy 282N00000X · Licence 080000028 (CA)

Record details

NPI number1649563065
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRady Children's Hospital San Diego
Authorized official Virginia Bial — Program Manager · (858) 576-1700
Other names Developmental Eval Clinic - Torrey Hills Satellite
NPI enumeratedMay 18, 2011
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address3020 Childrens Way, Mc 5023, San Diego, CA 92123-4223

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