NPI: 1790858124
Provider Name: VALLEY PEDIATRIC MEDICAL GROUP,INC.
Doing Business As: VALLEY PEDIATRIC MEDICAL GROUP,INC.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization
Specialization: Adolescent Medicine
CLIA Number: 05D0561202
Address:
5353 BALBOA BLVD
SUITE 104
ENCINO, CA
ZIP 91316
Phone: (818) 789-7181
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VALLEY PEDIATRIC MEDICAL GROUP,INC. is an adolescent medicine pediatrics in Encino, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. VALLEY PEDIATRIC MEDICAL GROUP,INC. NPI is 1790858124. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valley Pediatric Medical Group,inc..
The provider's business location address is:
5353 BALBOA BLVD
SUITE 104
ENCINO, CA
ZIP 91316-804
Phone: (818) 789-7181
Fax: (818) 986-8322
The provider's authorized official is Karyn Young .
The authorized official title is Credentialing Manager and has the following contact phone number (818) 789-7181.
The CLIA number assigned to this NPI record is 05D0561202 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.