Kiddox Medical Group, Inc.

NPI 1255479408 - Pediatrics - 208000000X

NPI Details
NPI 1255479408
Enumeration Date 02/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY PHILIP JEFFREY
Position SECRETARY
Phone (310) 453-9010
Fax (310) 828-3661
Practice Location
1245 16TH ST
#305
SANTA MONICA CA, 90404-1235, US
Phone (310) 453-9010
Fax (310) 828-3661
Business Location
1245 16TH ST
#305
SANTA MONICA CA, 90404-1235, US
Phone (310) 453-9010
Fax (310) 828-3661
Toxanomy
Taxonomy Code 208000000X
License State California
License Number G24539
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According to our database, Kiddox Medical Group, Inc. NPI is 1255479408, taxonomy code is 208000000X and license number is G24539, license state is located at California. Kiddox Medical Group, Inc. physically located at 1245 16th St, Santa Monica CA, 90404-1235. NPI Number 1033115704 has the healthcare provider type.

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1255479408 NPI number is provided on an as is basis without warranty of any kind. 1255479408 is maintained by the National Plan & Provider Enumeration System. The contents of Kiddox Medical Group, Inc. are for informational purposes only.