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GHANEIAN PEDIATRIC CARE INC. NPI 1689212045


NPI Information

NPI: 1689212045
Provider Name: GHANEIAN PEDIATRIC CARE, INC.

Doing Business As: HEALTHY KIDS CARE AT SUNRISE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 29D2177248

Address:
3196 S MARYLAND PKWY STE 411
LAS VEGAS, NV
ZIP 89109
Phone: (310) 561-0005
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GHANEIAN PEDIATRIC CARE, INC. is a pediatrics in Las Vegas, NV. 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. GHANEIAN PEDIATRIC CARE, INC. NPI is 1689212045. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthy Kids Care At Sunrise.

The provider's business location address is:

3196 S MARYLAND PKWY STE 411
LAS VEGAS, NV
ZIP 89109-318
Phone: (310) 561-0005

The provider's authorized official is Atousa Ghaneian .
The authorized official title is Owner and has the following contact phone number (702) 444-7685.

The CLIA number assigned to this NPI record is 29D2177248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2019 and was last updated on 4/18/2024.


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
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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