BENDITO PEDIATRICS INC NPI 1144596966

NPI Information

  • NPI: 1144596966
  • Provider Name: BENDITO PEDIATRICS INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 05D2043973
  • Address: 22030 SHERMAN WAY
    SUITE #210
    CANOGA PARK, CA
    ZIP 91303
  • Phone: (818) 857-5991

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NPI Details

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
1261QP2300XClinic/CenterPrimary CareA102218CALIFORNIAYes

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: 11/21/2025

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