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PEDIATRIC CRITICAL CARE GROUP OF AMERICA NPI 1295912749


NPI Information

NPI: 1295912749
Provider Name: PEDIATRIC CRITICAL CARE GROUP OF AMERICA
Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
2801 ATLANTIC AVE
3RD FL, PICU
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-8743
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PEDIATRIC CRITICAL CARE GROUP OF AMERICA is a pediatric critical care medicine pediatrics in Long Beach, CA. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. PEDIATRIC CRITICAL CARE GROUP OF AMERICA NPI is 1295912749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2801 ATLANTIC AVE
3RD FL, PICU
LONG BEACH, CA
ZIP 90806-701
Phone: (562) 933-8743
Fax: (562) 933-8014

The provider's authorized official is J Carlos Maggi .
The authorized official title is President and has the following contact phone number (562) 933-8743.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 1/28/2008.


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
12080P0203XPediatricsPediatric Critical Care MedicineA40093CALIFORNIAYes

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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