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MEDICAL GENETICS DIAGNOSTIC CENTER LLC NPI 1699432344


NPI Information

NPI: 1699432344
Provider Name: MEDICAL GENETICS DIAGNOSTIC CENTER LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
11160 WARNER AVE STE 201
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 540-0105
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MEDICAL GENETICS DIAGNOSTIC CENTER LLC 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. MEDICAL GENETICS DIAGNOSTIC CENTER LLC NPI is 1699432344. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11160 WARNER AVE STE 201
FOUNTAIN VALLEY, CA
ZIP 92708-048
Phone: (714) 540-0105
Fax: (714) 540-6727

The provider's authorized official is Xuanto Leduc .
The authorized official title is Physician/manager and has the following contact phone number (714) 540-0105.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 11/17/2021.


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
1207SG0201XMedical GeneticsClinical Genetics (M.D.)No
2208000000XPediatricsYes

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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