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EASTER SEALS NORTHERN CALIFORNIA NPI 1124347000


NPI Information

NPI: 1124347000
Provider Name: EASTER SEALS NORTHERN CALIFORNIA
Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
20 PIMENTEL CT STE A1
NOVATO, CA
ZIP 94949
Phone: (415) 382-7450
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EASTER SEALS NORTHERN CALIFORNIA is a developmental - behavioral pediatrics pediatrics in Novato, CA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. EASTER SEALS NORTHERN CALIFORNIA NPI is 1124347000. The provider is registered as an organization entity type.

The provider's business location address is:

20 PIMENTEL CT STE A1
NOVATO, CA
ZIP 94949-656
Phone: (415) 382-7450
Fax: (415) 385-7457

The provider's authorized official is Mary Margaret O'brien .
The authorized official title is Director, Accounting & Human Resour and has the following contact phone number (415) 382-7450.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 5/18/2010.


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
1251K00000XPublic Health or WelfareNo
22080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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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