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SOUTHERN CALIFRONIA SPECIALISTS INC NPI 1497942932


NPI Information

NPI: 1497942932
Provider Name: SOUTHERN CALIFRONIA SPECIALISTS, INC

Former Legal Business Name: FOUNTAIN VALLEY PEDIATRIC SPECIALISTS, INC.

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
11190 WARNER AVE
SUITE 307
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 545-6400
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SOUTHERN CALIFRONIA SPECIALISTS, INC is a pediatrics in Fountain Valley, 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. SOUTHERN CALIFRONIA SPECIALISTS, INC NPI is 1497942932. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Fountain Valley Pediatric Specialists, Inc..

The provider's business location address is:

11190 WARNER AVE
SUITE 307
FOUNTAIN VALLEY, CA
ZIP 92708-019
Phone: (714) 545-6400

The provider's authorized official is Kenneth Kim .
The authorized official title is President and has the following contact phone number (714) 506-8094.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 9/28/2007.


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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