REDWOOD PEDIATRIC MEDICAL GROUP is a specialist in Fortuna, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. REDWOOD PEDIATRIC MEDICAL GROUP NPI is 1164574083. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
3305 RENNER DR
FORTUNA, CA
ZIP 95540-119
Phone: (707) 725-9355
Fax: (707) 725-2426
The provider's authorized official is Shalamar Ivey .
The authorized official title is Billing Manager and has the following contact phone number (707) 725-9355.
The CLIA number assigned to this NPI record is 05D0613017 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.