05D0581639 CLIA NUMBER - FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLI

Laboratory Demographics

CLIA Number: 05D0581639

Facility Name: FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLI

Facility Address:
11100 WARNER AVE #268
FOUNTAIN VALLEY, CA
ZIP 92708
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Facility Phone Number: (714) 540-9911

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1467643726

Taxonomy: 208000000X - Pediatrics
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.

CLIA Record

Field Name Field Value
CLIA Number 05D0581639
LAB Type PHYSICIAN OFFICE
Facility Name FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLI
Street 11100 WARNER AVE #268
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone (714) 540-9911

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This page was last updated on: 1/7/2022