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GLENDORA PEDIATRICS MED GROUP INC NPI 1992762355


NPI Information

NPI: 1992762355
Provider Name: GLENDORA PEDIATRICS MED GROUP INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
210 S GRAND AVE STE 202
GLENDORA, CA
ZIP 91741
Phone: (626) 335-0211
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GLENDORA PEDIATRICS MED GROUP INC is a pediatrics in Glendora, 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. GLENDORA PEDIATRICS MED GROUP INC NPI is 1992762355. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 S GRAND AVE STE 202
GLENDORA, CA
ZIP 91741
Phone: (626) 335-0211
Fax: (626) 335-7986

The provider's authorized official is Janet P Fermin .
The authorized official title is Doctor and has the following contact phone number (626) 335-0211.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsA65278CALIFORNIANo
2208000000XPediatricsA65758CALIFORNIAYes

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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