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ECLIPSE MEDICAL GROUP NPI 1053675793


NPI Information

NPI: 1053675793
Provider Name: ECLIPSE MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
802 MAGNOLIA AVE
CORONA, CA
ZIP 92879
Phone: (951) 739-5944
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ECLIPSE MEDICAL GROUP is a pediatrics in Corona, 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. ECLIPSE MEDICAL GROUP NPI is 1053675793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

802 MAGNOLIA AVE
CORONA, CA
ZIP 92879-104
Phone: (951) 739-5944
Fax: (951) 739-7480

The provider's authorized official is Allen Lloyd Iseri .
The authorized official title is Owner and has the following contact phone number (951) 739-5944.

The enumeration date for this NPI number is 6/27/2012 and was last updated on 6/27/2012.


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
1208000000XPediatricsYes

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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