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PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY INC NPI 1982871729


NPI Information

NPI: 1982871729
Provider Name: PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D1070068

Address:
12665 GARDEN GROVE BLVD
STE 713
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 537-7500
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PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY INC is a pediatrics in Garden Grove, 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. PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY INC NPI is 1982871729. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12665 GARDEN GROVE BLVD
STE 713
GARDEN GROVE, CA
ZIP 92843-901
Phone: (714) 537-7500
Fax: (714) 537-0031

The provider's authorized official is Jacob Sweidan .
The authorized official title is President and has the following contact phone number (949) 999-3700.

The CLIA number assigned to this NPI record is 05D1070068 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 1/3/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics180024CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G268130MEDICAIDCALIFORNIA
200C350690MEDICAIDCALIFORNIA
300PA142210MEDICAIDCALIFORNIA
400A213320MEDICAIDCALIFORNIA
500A943300MEDICAIDCALIFORNIA
600A378880MEDICAIDCALIFORNIA
700PA183200MEDICAIDCALIFORNIA
800PA177430MEDICAIDCALIFORNIA
900A446640MEDICAIDCALIFORNIA
10GR0093291MEDICAIDCALIFORNIA

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: 5/5/2024

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