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SAN JUAN PEDIATRICS INC NPI 1073793790


NPI Information

NPI: 1073793790
Provider Name: SAN JUAN PEDIATRICS INC

Doing Business As: SAN JUAN PEDIATRICS INC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D1010819

Address:
27372 CALLE ARROYO
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (949) 388-9009
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SAN JUAN PEDIATRICS INC is a pediatrics in San Juan Capistrano, 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. SAN JUAN PEDIATRICS INC NPI is 1073793790. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Juan Pediatrics Inc.

The provider's business location address is:

27372 CALLE ARROYO
SAN JUAN CAPISTRANO, CA
ZIP 92675-746
Phone: (949) 388-9009
Fax: (949) 388-9665

The provider's authorized official is Ashraf G. Fahim .
The authorized official title is Owner / Physician and has the following contact phone number (949) 388-9009.

The CLIA number assigned to this NPI record is 05D1010819 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 3/15/2024.


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
1208000000XPediatricsGR0105670CALIFORNIAYes

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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