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MED-PED I D INCORPORATED NPI 1245330364


NPI Information

NPI: 1245330364
Provider Name: MED-PED I D INCORPORATED
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 05D2101184

Address:
28078 BAXTER RD
SUITE 320
MURRIETA, CA
ZIP 92563
Phone: (951) 679-5811
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MED-PED I D INCORPORATED is an infectious disease internal medicine in Murrieta, CA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. MED-PED I D INCORPORATED NPI is 1245330364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28078 BAXTER RD
SUITE 320
MURRIETA, CA
ZIP 92563-402
Phone: (951) 679-5811
Fax: (951) 679-5844

The provider's authorized official is Chawki Harfouch .
The authorized official title is Employee and has the following contact phone number (951) 679-5811.

The CLIA number assigned to this NPI record is 05D2101184 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 2/26/2019.


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
1207RI0200XInternal MedicineInfectious DiseaseA60874CALIFORNIAYes

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: 11/14/2023

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