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CLYNE & HSU MEDICAL GROUP INC NPI 1932545704


NPI Information

NPI: 1932545704
Provider Name: CLYNE & HSU MEDICAL GROUP INC

Doing Business As: PEDIATRIC MEDICAL GROUP OF WATSONVILLE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0895720

Address:
222 GREEN VALLEY RD
FREEDOM, CA
ZIP 95019
Phone: (831) 728-2969
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CLYNE & HSU MEDICAL GROUP INC is a pediatrics in Freedom, 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. CLYNE & HSU MEDICAL GROUP INC NPI is 1932545704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Medical Group Of Watsonville.

The provider's business location address is:

222 GREEN VALLEY RD
FREEDOM, CA
ZIP 95019-136
Phone: (831) 728-2969

The provider's authorized official is Patrick S Clyne .
The authorized official title is President and has the following contact phone number (831) 713-9743.

The CLIA number assigned to this NPI record is 05D0895720 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 12/30/2013.


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
1208000000XPediatricsG79053CALIFORNIAYes

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
1G39013MEDICARE UPINCALIFORNIA

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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