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NEONATOLOGY MEDICAL GROUP INC NPI 1649383472


NPI Information

NPI: 1649383472
Provider Name: NEONATOLOGY MEDICAL GROUP INC

Doing Business As: TOTS TO TEENS PEDIATRICS

Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
33353 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399
Phone: (909) 790-7900
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NEONATOLOGY MEDICAL GROUP INC is a neonatal-perinatal medicine pediatrics in Yucaipa, CA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NEONATOLOGY MEDICAL GROUP INC NPI is 1649383472. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tots To Teens Pediatrics.

The provider's business location address is:

33353 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399-018
Phone: (909) 790-7900
Fax: (909) 790-7058

The provider's authorized official is Vellore Ganesh Muraligopal .
The authorized official title is President and has the following contact phone number (909) 790-5071.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/22/2020.


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
12080N0001XPediatricsNeonatal-Perinatal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0004462MEDICAIDCALIFORNIA

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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