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CALABASAS PEDIATRICS NPI 1356877740


NPI Information

NPI: 1356877740
Provider Name: CALABASAS PEDIATRICS
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D2099670

Address:
23480 PARK SORRENTO
SUITE 109A
CALABASAS, CA
ZIP 91302
Phone: (818) 914-4429
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CALABASAS PEDIATRICS is a clinic center in Calabasas, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CALABASAS PEDIATRICS NPI is 1356877740. The provider is registered as an organization entity type.

The provider's business location address is:

23480 PARK SORRENTO
SUITE 109A
CALABASAS, CA
ZIP 91302-306
Phone: (818) 914-4429

The provider's authorized official is Tanya Altmann .
The authorized official title is Pediatrician and has the following contact phone number (818) 914-4429.

The CLIA number assigned to this NPI record is 05D2099670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2017 and was last updated on 5/4/2017.


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
1261Q00000XClinic/CenterA72521CALIFORNIAYes

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

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