Pediatric Partners Medical Professional Corporation

NPI 1063500106 - Pediatrics - 208000000X

NPI Details
NPI 1063500106
Enumeration Date 10/11/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS P THOMAS
Position CHIEF EXECUTIVE OFFICER
Phone (951) 301-5380
Fax (951) 301-5390
Practice Location
26900 NEWPORT RD
SUITE 111
MENIFEE CA, 92584-9222, US
Phone (951) 301-5380
Fax (951) 301-5390
Business Location
27699 JEFFERSON AVE
SUITE 300
TEMECULA CA, 92590-2661, US
Phone (951) 252-8588
Fax (951) 252-8589
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Pediatric Partners Medical Professional Corporation NPI is 1063500106, taxonomy code is 208000000X Pediatric Partners Medical Professional Corporation physically located at 26900 Newport Rd, Menifee CA, 92584-9222. NPI Number 1033115704 has the healthcare provider type.

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1063500106 NPI number is provided on an as is basis without warranty of any kind. 1063500106 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Partners Medical Professional Corporation are for informational purposes only.