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LAGUNA BEACH PEDIATRIC ASSOC. INC NPI 1043645641


NPI Information

NPI: 1043645641
Provider Name: LAGUNA BEACH PEDIATRIC ASSOC. INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2068011

Address:
400 NEWPORT CENTER DR. STE 204
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 509-9915
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LAGUNA BEACH PEDIATRIC ASSOC. INC is a pediatrics in Newport Beach, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LAGUNA BEACH PEDIATRIC ASSOC. INC NPI is 1043645641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 NEWPORT CENTER DR. STE 204
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 509-9915
Fax: (949) 509-1116

The provider's authorized official is Manpreet Kaur Sarna .
The authorized official title is Owner and has the following contact phone number (949) 509-9915.

The CLIA number assigned to this NPI record is 05D2068011 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2013 and was last updated on 2/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsC54529CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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