Pediahealth Medical Group, Inc.

NPI 1003913971 - Clinic/Center - 261Q00000X

NPI Details
NPI 1003913971
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name OFELIA OFELIA
Position CHIEF MEDICAL OFFICER
Phone (650) 994-3000
Fax
Practice Location
901 CAMPUS DR
SUITE 210
DALY CITY CA, 94015-4900, US
Phone (650) 994-3000
Fax
Business Location
901 CAMPUS DR
SUITE 210
DALY CITY CA, 94015-4900, US
Phone (650) 994-3000
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number A32383
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According to our database, Pediahealth Medical Group, Inc. NPI is 1003913971, taxonomy code is 261Q00000X and license number is A32383, license state is located at California. Pediahealth Medical Group, Inc. physically located at 901 Campus Dr, Daly City CA, 94015-4900. NPI Number 1033115704 has the healthcare provider type.

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1003913971 NPI number is provided on an as is basis without warranty of any kind. 1003913971 is maintained by the National Plan & Provider Enumeration System. The contents of Pediahealth Medical Group, Inc. are for informational purposes only.