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BATAVIA WOODS - ALLERGY NPI 1033300769


NPI Information

NPI: 1033300769
Provider Name: BATAVIA WOODS - ALLERGY

Other Name: PEDIATRIC SUBSPECIALTY FACULTY, INC.

Classification: Pediatrics - 2080P0201X
Entity Type: Organization

Specialization: Pediatric Allergy/Immunology

Address:
725 W. LAVETA
SUITE 100
ORANGE, CA
ZIP 92868
Phone: (714) 516-4295
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BATAVIA WOODS - ALLERGY is a pediatric allergy/immunology pediatrics in Orange, CA. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. BATAVIA WOODS - ALLERGY NPI is 1033300769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pediatric Subspecialty Faculty, Inc..

The provider's business location address is:

725 W. LAVETA
SUITE 100
ORANGE, CA
ZIP 92868-835
Phone: (714) 516-4295

The provider's authorized official is Elizabeth M Farace .
The authorized official title is Manager and has the following contact phone number (714) 516-4295.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 2/25/2008.


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
12080P0201XPediatricsPediatric Allergy/ImmunologyCALIFORNIAYes

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
1GR0090403MEDICAIDCALIFORNIA
2GR0090401MEDICAIDCALIFORNIA
3GR0090400MEDICAIDCALIFORNIA
4GR0090394MEDICAIDCALIFORNIA
5GR0090402MEDICAIDCALIFORNIA

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: 11/14/2023

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