OrganizationOsteopathic Center For Children(<Unavail>)PediatricsAllopathic & Osteopathic PhysiciansPractice Address3706 Ruffin Road, Suite 117, San Diego, CA 92123(619) 583-7611PECOS EnrollmentBased on the most recent information from CMS, provider Osteopathic Center For Children does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:29 PM.Profile DetailsProvider ID1619004157Provider TypeOrganizationFull NameOsteopathic Center For ChildrenOther Name<Unavail>SubpartNoEnumeration Date2/28/2007Last Updated7/2/2015Contact InformationPractice LocationPractice Address3706 Ruffin Road, Suite 117, San Diego, CA 92123Phone(619) 583-7611Fax(619) 583-7611Mailing LocationMailing Address3706 Ruffin Rd, Suite 117, San Diego, CA 92123-1812Phone(619) 583-7611Fax(619) 583-7611Authorized OfficialNameCenters, Shawn K (Osteopathic Pediatrician/ Med. Dir)Phone(619) 583-7611Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer