BENDITO PEDIATRICS INC NPI 1144596966

NPI Information

NPI: 1144596966
Provider Name: BENDITO PEDIATRICS INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2043973

Address:
22030 SHERMAN WAY
SUITE #210
CANOGA PARK, CA
ZIP 91303
Phone: (818) 857-5991
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BENDITO PEDIATRICS INC is a primary care clinic center in Canoga Park, CA. BENDITO PEDIATRICS INC NPI is 1144596966. The provider is registered as an organization entity type.

The provider's business location address is:

22030 SHERMAN WAY
SUITE #210
CANOGA PARK, CA
ZIP 91303-855
Phone: (818) 857-5991
Fax: (818) 703-0895

The provider's authorized official is Chioma A Kalu .
The authorized official title is Ceo and has the following contact phone number (818) 857-5991.

The CLIA number assigned to this NPI record is 05D2043973 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 7/26/2012.

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
1	261QP2300X	Clinic/Center	Primary Care	A102218	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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